A client is started on warfarin therapy. Identify the appropriate nursing implications associated with this medication. (Select all that apply.)
Advise the client to avoid prolonged immobility and participate in exercise activities while on warfarin.
Safe and effective warfarin therapy requires rigid adherence to the dosing schedule.
Therapy will be evaluated by monitoring PT/INR frequently at first, then every 2-4 weeks after that.
The client should be encouraged to use non-steroidal anti-inflammatory drugs (NSAIDs) for pain relief while on warfarin.
Instruct the client to avoid foods high in Vitamin K while on warfarin.
Correct Answer : B,C,E
a) Advising the client to avoid prolonged immobility and participate in exercise activities is a general health recommendation but not specifically related to warfarin therapy.
b) Safe and effective warfarin therapy requires rigid adherence to the dosing schedule to maintain therapeutic anticoagulation levels.
c) Monitoring PT/INR frequently initially and then regularly helps assess the effectiveness and safety of warfarin therapy.
d) Encouraging the use of NSAIDs is not recommended with warfarin due to the increased risk of bleeding.
e) Instructing the client to avoid foods high in Vitamin K is important because Vitamin K can interfere with the anticoagulant effects of warfarin.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
a) Insulin glargine is a long-acting basal insulin and is not typically administered before each meal.
b) Administering insulin glargine after meals is not the standard practice. It is given once daily to provide a continuous basal insulin level.
c) Insulin glargine is a once-daily basal insulin that is usually administered at the same time every day to maintain a consistent level of insulin in the body.
d) Unlike short-acting insulins, insulin glargine is not given with meals but provides a basal level of insulin throughout the day.
Correct Answer is C
Explanation
A) Stopping routine asthma medications may actually increase the risk of complications, including exacerbation of asthma and potential harm to the baby.
B) Stopping all routine medications is not recommended without consulting a healthcare provider.
C) Many asthma medications are considered safe during pregnancy, and managing asthma is important for both maternal and fetal health.
D) There is a need for concern, and it is essential for pregnant women with asthma to work with their healthcare providers to manage their condition appropriately.
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