A nurse is caring for a client who has been taking warfarin and has a prothrombin time of 30 seconds and an INR of 7. Which of the following medications should the nurse anticipate the provider to prescribe?

A. Prayer: Prayer and meditation are practices that focus on the mind-body connection and can be used for relaxation, stress reduction, and promoting inner peace. These practices are often included in CAM approaches.

B. Yoga: Yoga combines physical postures, breathing exercises, and meditation. It can improve flexibility, strength, balance, and overall well-being, making it a popular CAM therapy.

C. Massage: Massage therapy involves manipulating the soft tissues of the body to promote relaxation, pain relief, and improved circulation. It's a widely used CAM therapy.

D. Meditation: Meditation involves focusing your attention and quieting the mind. It can promote relaxation, reduce stress, and improve emotional well-being, aligning with CAM principles.

E. Ointments with a steroid base: Steroid creams are medications typically prescribed by doctors for specific skin conditions. While some natural remedies might be used topically in CAM, ointments with a steroid base wouldn't be considered a CAM therapy itself.

A. Easy bruising indicates the medication is effective: While some bruising is possible, excessive bruising doesn't necessarily mean the medication is working effectively. It could indicate excessive anticoagulation, requiring dose adjustments.

B. Inject the medication deep into the thigh muscle: Heparin is injected subcutaneously, targeting the fatty tissue layer just beneath the skin. Injecting into the muscle can be painful and decrease absorption.

C. Expect stools to become black and tarry: Black stools can be a sign of upper gastrointestinal bleeding, a potential but uncommon side effect. The nurse should instruct the client to report any black stools but not expect them as a normal occurrence.

D. Use a soft bristle toothbrush: This is important because heparin increases bleeding risk, and a soft-bristled toothbrush minimizes gum irritation and potential bleeding.