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"
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1"]
Explanation
To determine how many hydrochlorothiazide tablets to administer per dose, we can perform a simple calculation:
Identify the prescribed dose: The nurse needs to administer 25 mg of hydrochlorothiazide per dose.
Identify the tablet strength: Each available tablet contains 50 mg of hydrochlorothiazide.
Calculate the number of tablets: We need to find out how many 50 mg tablets are needed to deliver the prescribed 25 mg dose.
Here, dividing the prescribed dose by the tablet strength will tell us how many tablets are required:
Number of tablets = Prescribed dose / Tablet strength
Number of tablets = 25 mg / 50 mg/tablet
Since the division results in 0.5, we need to round to the nearest whole number for medication administration.
Therefore, the nurse should administer 1 tablet of hydrochlorothiazide per dose.
Correct Answer is A
Explanation
A) Trazolam orally at bedtime:
Trazolam is a benzodiazepine used for insomnia and can cause daytime sedation. Clients should avoid hazardous activities, such as driving, while taking this medication due to the potential for impaired alertness and coordination.
B) Polyethylene glycol dissolved in 240 ml of water once daily:
Polyethylene glycol is a laxative used for bowel cleansing and maintenance. It does not typically cause daytime sedation or impair cognitive function, so avoiding hazardous activities is not necessary.
C) Adalimumab subcutaneously every 2 weeks:
Adalimumab is a biologic medication used to treat inflammatory conditions like rheumatoid arthritis and does not typically cause sedation or impair cognitive function.
D) Ketoconazole orally once daily with food:
Ketoconazole is an antifungal medication that does not cause significant sedation or impair cognitive function. Hazardous activities are not typically restricted while taking this medication.
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