A nurse in a clinic is reviewing teaching about food choices with a client who has recently begun taking warfarin. The nurse should instruct the client to limit consumption of which of the following foods?

Kale

White beans

Cantaloupe

Whole grain bread

Answer and Explanation

The Correct Answer is A

A. Kale: Kale is high in vitamin K, which can counteract the effects of warfarin and reduce its effectiveness. Clients on warfarin are typically advised to limit or maintain a consistent intake of foods high in vitamin K.

B. White beans: White beans are not high in vitamin K and do not need to be limited in a client taking warfarin.

C. Cantaloupe: Cantaloupe is not high in vitamin K and is safe to consume while on warfarin.

D. Whole grain bread: Whole grain bread is not a significant source of vitamin K and does not interfere with warfarin.

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Correct Answer is B

Explanation

A. Attach the leads for a 12-lead ECG. While a 12-lead ECG is important in diagnosing chest pain, the client’s oxygenation is a priority and should be addressed before further diagnostics.

B. Initiate oxygen therapy. The priority in this scenario is to address the client's cyanosis and shortness of breath. Oxygen therapy improves oxygen delivery to tissues and should be the first intervention.

C. Obtain a blood sample. Obtaining cardiac enzyme levels is necessary for diagnosing myocardial infarction, but oxygen therapy should be initiated first to address immediate respiratory distress.

D. Insert the IV catheter. Inserting an IV catheter is important for administering fluids and medications, but it is not the most urgent action in the presence of hypoxia.

A. Complete heart block B. Ventricular Fibrillation C. Atrial fibrillation. D. Sinus tachycardia

Correct Answer is C

Explanation

A. Complete heart block: In complete heart block (third-degree heart block), the P waves are present, but there is no communication between the atria and the ventricles. This does not match the given scenario.

B. Ventricular Fibrillation: Ventricular fibrillation involves chaotic, rapid, and irregular electrical activity in the ventricles and is life-threatening. P waves are not present, but the description in the question points more to atrial fibrillation than ventricular fibrillation.

C. Atrial fibrillation: In atrial fibrillation, P waves are absent, and the ventricular rhythm is irregular. This matches the ECG description given in the question.

D. Sinus tachycardia: Sinus tachycardia involves a fast heart rate but still retains identifiable P waves and a regular rhythm, which is not the case here.

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A nurse in a clinic is reviewing teaching about food choices with a client who has recently begun taking warfarin. The nurse should instruct the client to limit consumption of which of the following foods?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A nurse is assisting with collecting data on a client who is on a continuous ECG monitor. The client's ECG tracing shows no identifiable P waves and an irregular ventricular rate. The nurse should recognize the client is experiencing which of the following cardiac dysrhythmias?

Correct Answer is C

Explanation

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