A nurse caring for a patient prescribed warfarin discovers that the patient is taking garlic to help with hypertension. Which condition will the nurse assess for in this patient?
Increased cholesterol level
Distended jugular vein
Bleeding
Angina
The Correct Answer is C
A. Increased cholesterol levels are not directly related to garlic intake or the effects of warfarin.
B. Distended jugular veins may indicate fluid overload or heart failure but are not a direct concern related to warfarin and garlic interaction.
C. Garlic can enhance the anticoagulant effect of warfarin, increasing the risk of bleeding; therefore, monitoring for signs of bleeding is crucial.
D. Angina is not a direct consequence of the interaction between garlic and warfarin and does not specifically relate to the assessment for this patient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Patient-centered care emphasizes understanding the patient’s needs and preferences, but it does not specifically address practice gaps.
B. Quality improvement focuses on identifying and addressing discrepancies between current practices and best practices, aiming to improve patient care outcomes.
C. Teamwork and collaboration involve working effectively with others to provide care, not directly identifying practice gaps.
D. Safety is about preventing harm to patients, but quality improvement is more focused on systematic evaluation and process improvement.
Correct Answer is B
Explanation
A. "Risk for infection related to chest x-ray procedure" is not an appropriate diagnosis because a chest x-ray is a diagnostic tool, and pneumonia itself is the concern for infection.
B. "Impaired gas exchange related to alveolar-capillary membrane changes" is correct as pneumonia causes inflammation and consolidation in the lungs, which directly impacts gas exchange.
C. "Risk for deficient fluid volume related to dehydration" does not apply specifically to pneumonia unless the patient presents signs of dehydration, which is not indicated in the scenario.
D. "Ineffective breathing pattern related to pneumonia" could also be a valid diagnosis, but the primary concern given the information provided is gas exchange impairment.
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