A client with atrial fibrillation has been prescribed dabigatran.
What instruction should the nurse include in this client’s teaching plan?

Eliminate spinach and other green vegetables from the diet.

Avoid the use of nonsteroidal anti-inflammatory drugs (NSAIDs).

Continue to obtain scheduled laboratory bleeding tests.

Keep an antidote available in case of hemorrhage.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Eliminating spinach and other green vegetables from the diet is not necessary for a client taking dabigatran. Unlike warfarin, another anticoagulant that interacts with vitamin K found

in green leafy vegetables, dabigatran does not have this interaction. Therefore, clients taking dabigatran do not need to modify their intake of green vegetables.

Choice B rationale

The nurse should instruct the client to avoid the use of nonsteroidal anti-inflammatory drugs (NSAIDs) while taking dabigatran. NSAIDs can increase the risk of bleeding, which is already elevated in clients taking anticoagulants like dabigatran.

Choice C rationale

Continuing to obtain scheduled laboratory bleeding tests is not necessary for a client taking dabigatran. Unlike some other anticoagulants, dabigatran does not require regular blood tests to monitor its effectiveness or adjust its dosage.

Choice D rationale

Keeping an antidote available in case of hemorrhage is not typically part of the teaching plan for a client taking dabigatran. While an antidote for dabigatran does exist, it is usually administered in a hospital setting in the event of life-threatening bleeding or emergency surgery.

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Correct Answer is D

Explanation

Choice A rationale

Eye drops for glaucoma are not typically used for long-term control of pain and swelling.

Choice B rationale

Restoring a smaller angle is not the goal of treatment for open-angle glaucoma.

Choice C rationale

While reducing excess pressure is a goal of glaucoma treatment, eye drops are typically used for long-term control rather than a temporary reduction of pressure.

Choice D rationale

Eye drops for open-angle glaucoma are used for long-term control of normal eye pressure. They need to be used every day, and depending on the type of medicine, may need to be used once, twice, or up to 4 times a day.

A. Avoid the use of iron supplements. B. Consume foods that are high in iodine. C. Take medication on an empty stomach. D. Administer levothyroxine at bedtime.

Correct Answer is C

Explanation

Choice A rationale

Iron supplements can interfere with the absorption of levothyroxine, reducing its effectiveness. However, this doesn’t mean that iron should be completely avoided. It’s generally recommended to take iron supplements and levothyroxine at different times of the day.

Choice B rationale

While iodine is a key component of thyroid hormones, consuming foods high in iodine doesn’t necessarily improve the effectiveness of levothyroxine. In fact, excessive iodine intake can sometimes cause or worsen hypothyroidism.

Choice C rationale

Levothyroxine should be taken on an empty stomach, typically 30 minutes to an hour before breakfast. This allows for optimal absorption of the medication.

Choice D rationale

Although it’s not harmful to take levothyroxine at bedtime, studies suggest that taking it on an empty stomach in the morning may allow for better absorption.

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A client with atrial fibrillation has been prescribed dabigatran.What instruction should the nurse include in this client’s teaching plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with open-angle glaucoma asks the nurse about the duration of use for the prescribed eye drops. What is the nurse’s accurate response?

Correct Answer is D

Explanation

A patient has received a new prescription for levothyroxine.Which statement made by the patient indicates that the education was effective?

Correct Answer is C

Explanation

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A client with atrial fibrillation has been prescribed dabigatran.
What instruction should the nurse include in this client’s teaching plan?