A nurse is assisting in the education of a group of clients about the contraindications of warfarin therapy. Which of the following statements is appropriate to include in the instructions?

"Clients who have rheumatoid arthritis should not take warfarin."

"Clients who have diabetes mellitus type 1 should not take warfarin"

"Clients who have hypertension should not take warfarin"

"Clients who are pregnant should not take warfarin"

Answer and Explanation

The Correct Answer is D

A) "Clients who have rheumatoid arthritis should not take warfarin":
Rheumatoid arthritis itself is not a contraindication for warfarin therapy. However, close monitoring is required due to potential interactions with medications used to treat rheumatoid arthritis and the increased risk of bleeding associated with both conditions.

B) "Clients who have diabetes mellitus type 1 should not take warfarin":
Type 1 diabetes mellitus is not a contraindication for warfarin therapy. However, diabetes increases the risk of complications such as peripheral vascular disease, which may necessitate careful monitoring of INR levels and adjustments to warfarin dosage.

C) "Clients who have hypertension should not take warfarin":
Hypertension alone is not a contraindication for warfarin therapy. However, hypertension is a risk factor for cardiovascular diseases that may require anticoagulation therapy. Close monitoring of blood pressure and potential interactions with antihypertensive medications is essential.

D) "Clients who are pregnant should not take warfarin":
Pregnancy is a contraindication for warfarin therapy due to its teratogenic effects, which can cause fetal harm or birth defects. Pregnant clients requiring anticoagulation therapy may be prescribed alternative medications that are safer during pregnancy, under the guidance of a healthcare provider.

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Free Nursing Study Resources

Correct Answer is ["7.5"]

Explanation

We can calculate the volume of potassium chloride solution to administer using the following steps:

Identify the prescribed dose: The nurse needs to administer 20 mEq of potassium chloride.

Identify the concentration of available solution: The potassium chloride liquid is available in a concentration of 40 mEq/15 mL. This means there are 40 milliequivalents (mEq) of potassium chloride in every 15 milliliters (mL) of the solution.

Set up a proportion to find the volume needed:

Desired dose (mEq) : Volume to administer (mL) = Concentration (mEq/mL)

Plug in the values:

20 mEq : Volume to administer (mL) = 40 mEq/15 mL

Solve for the volume:

To isolate the volume (mL), multiply both sides of the proportion by the volume unit (mL) and divide by the dose (mEq).

Volume to administer (mL) = (20 mEq) x (mL) / (40 mEq/15 mL)

We can simplify the calculation before dividing:

Volume to administer (mL) = (20 mEq x 15 mL) / 40 mEq

Volume to administer (mL) = 300 mL / 40 mEq

Volume to administer (mL) = 7.5 mL (round to one decimal place)

Therefore, the nurse should administer 7.5 mL of the potassium chloride solution.

A. "I might not get relief from my pain for 3 to 4 weeks." B. "I can take these pills with my meals." C. "I am taking this type of medication so it dissolves in my intestine, not my stomach." D. "It's okay to crush a tablet as long as I make sure it dissolves completely in water before swallowing it."

Correct Answer is D

Explanation

A) "I might not get relief from my pain for 3 to 4 weeks.": This statement is correct because nonsteroidal anti-inflammatory drugs (NSAIDs) like naproxen can take several weeks to achieve their full therapeutic effect, particularly in chronic conditions like rheumatoid arthritis.

B) "I can take these pills with my meals.": Taking naproxen with meals is appropriate and helps to minimize gastrointestinal irritation, which is a common side effect of NSAIDs. Therefore, this statement does not indicate a need for further teaching.

C) "I am taking this type of medication so it dissolves in my intestine, not my stomach.": This is correct as enteric-coated medications are designed to pass through the stomach intact and dissolve in the intestines to reduce gastrointestinal side effects.

D) "It's okay to crush a tablet as long as I make sure it dissolves completely in water before swallowing it.": This statement indicates a need for further teaching. Enteric-coated tablets should not be crushed or chewed because crushing them destroys the coating designed to protect the stomach from irritation and the drug from stomach acid, potentially leading to increased side effects and reduced effectiveness.

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A nurse is assisting in the education of a group of clients about the contraindications of warfarin therapy. Which of the following statements is appropriate to include in the instructions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer potassium chloride 20 mEq. The amount available is potassium chloride liquid 40 mEq/15 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["7.5"]

Explanation

A nurse is reinforcing teaching with a client who is to start taking enteric-coated naproxen for rheumatoid arthritis. Which of the following client statements by the client indicates a need for further teaching?

Correct Answer is D

Explanation

A nurse is preparing to administer 0.9% sodium chloride (NS) 100 mL IV to infuse over 4 hr. The drip factor of the manual IV tubing is 60 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number.)

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A nurse is preparing to administer 0.9% sodium chloride (NaCl) 750 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr.? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)