A nurse is caring for a client who is prescribed warfarin. Which of the following actions should the nurse take?
Increase the client's dietary intake of vitamin K.
Teach the client that St. John's wort increases the effects of the medication.
Administer protamine sulfate if the client experiences an overdose.
Monitor the client's prothrombin time
The Correct Answer is D
A. Increasing dietary intake of vitamin K would decrease the effectiveness of warfarin, as vitamin K is involved in clotting factor synthesis.
B. St. John's wort decreases the effects of warfarin, so it should be avoided.
C. Protamine sulfate is the antidote for heparin, not warfarin. The antidote for warfarin overdose is vitamin K.
D. Monitoring prothrombin time (PT) and INR is essential to assess the effectiveness and safety of warfarin therapy.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Rectus femoris is not commonly used for IM injections in infants due to its proximity to large blood vessels and nerves.
B. The vastus lateralis is the preferred site for IM injections in infants as it is well-developed and away from major blood vessels and nerves.
C. The deltoid is not used for IM injections in infants due to its underdevelopment and small size.
D. The dorsogluteal site is avoided in infants due to the risk of injury to the sciatic nerve.
Correct Answer is A
Explanation
A. Ginkgo biloba can increase the risk of bleeding when taken with warfarin, as it has anticoagulant effects.
B. Coenzyme Q10 has a mild anticoagulant effect but does not have a significant contraindication with warfarin.
C. Valerian is generally safe with warfarin, although it may have sedative effects.
D. Probiotics do not interact with warfarin and are safe to use concurrently.
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