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 B
Explanation
a) Checking blood sugar once daily or more is a proactive and accurate self-management practice for individuals with diabetes.
b) Glipizide does not contain sulfa, so having a sulfa allergy is not a contraindication for taking this medication. The client needs clarification on this point.
c) Taking glipizide once daily with breakfast is a reasonable dosing schedule.
d) Having a glass of wine with dinner may be acceptable, but moderation and monitoring for interactions are advisable.
Correct Answer is C
Explanation
A) Taking levothyroxine at bedtime may affect sleep, but this statement suggests an incorrect understanding of the dosing schedule.
B) Taking levothyroxine with a meal may interfere with its absorption. The medication is generally recommended to be taken on an empty stomach.
C) Taking levothyroxine before breakfast on an empty stomach is the standard recommendation for optimal absorption.
D) Stopping levothyroxine based on TSH levels should be done under the guidance of a healthcare provider, and it's not a routine approach to medication administration.
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