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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Correct Answer is D

Explanation

A) Headache:
Omeprazole is not typically prescribed for headaches. It is a proton pump inhibitor (PPI) used primarily to reduce stomach acid production and treat conditions such as gastroesophageal reflux disease (GERD) and peptic ulcers. It does not directly relieve headache symptoms.

B) Nausea:
While omeprazole can indirectly help alleviate nausea associated with acid reflux or gastritis, it is not primarily indicated for nausea relief. Its main therapeutic effect is on reducing stomach acid production.

C) Diarrhea:
Omeprazole is not used to treat diarrhea. It does not have direct effects on bowel motility or stool consistency.

D) Acid indigestion:
Omeprazole is effective in relieving symptoms of acid indigestion, also known as heartburn or acid reflux. It works by decreasing the production of stomach acid, thereby reducing the burning sensation and discomfort associated with acid reflux.

Correct Answer is ["94"]

Explanation

To calculate the flow rate for the IV infusion, we can follow these steps:

Identify the total volume to be infused: The total volume of 0.9% sodium chloride (NaCl) solution is 750 mL.

Identify the infusion time: The nurse needs to administer the solution over 8 hours.

Calculate the flow rate: We need to find out how many milliliters (mL) per hour (hr) the IV pump should deliver.

Here's the formula:

Flow rate (mL/hr) = Total volume (mL) / Infusion time (hr)

Flow rate (mL/hr) = 750 mL / 8 hr

Flow rate = 93.75 mL/hr

Rounding the answer: Since we are dealing with medication administration, it's important to round to the nearest whole number to avoid inaccurate dosing. In this case, rounding down is appropriate.

Therefore, the nurse should set the IV pump to deliver 94 mL/hr.

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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 collecting data from a client who has been taking omeprazole for the past 4 weeks. The nurse determines that the medication is effective when the client reports relief from which of the following symptoms?

Correct Answer is D

Explanation

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.)

Correct Answer is ["94"]

Explanation

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