A nurse is caring for a male client who has peripheral vascular disease (PVC)), is taking dietary supplements, and has a new prescription for warfarin. The nurse should instruct the client to stop which of the following supplements prior to starting the warfarin? (Select all that apply.)

Feverfew

Garlic

Gingko

Saw Palmetto

Glucosamine

Answer and Explanation

Correct Answer : A,B,C

Warfarin reduces the activity of vitamin K to prevent excessive clot formation. Feverfew, garlic, and gingko can also reduce the activity of vitamin K or interfere with platelet function, which can make the blood thinner and harder to clot.
D. Saw Palmetto- Inhibits prostatic growth factors and is used for BPH
E. Used to promote formation of articular cartilage in osteoarthritis

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Correct Answer is C

Explanation

C. Heparin is an indirect thrombin inhibitor that prevents clot formation. It does not dissolve existing clots.
A. The onset of action of heparin is immediate
B. The oral anticoagulants also don’t dissolve the clot
D. The nurse should also understand the pharmacology of the drugs she or he is administering.

A. Avoid people who have infections. B. Practice frequent hand hygiene. C. Do not drink alcoholic beverages while taking this medication. D. Smoking will not affect this medication. E. Expect to feel the medication's effects immediately.

Correct Answer is ["A","B","C"]

Explanation

Methotrexate inhibits the synthesis of purines. Purines and pyrimidines are the building blocks of DNA synthesis in every cell in the body. It affects the production of white blood cells and hence lowers the immunity and hence the client is at a higher risk for infections

Avoiding infected persons and hand hygiene prevents infections. Alcohol should be avoided as it increases the risk of liver damage

E-it takes several weeks to months to produce its effects

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A nurse is caring for a male client who has peripheral vascular disease (PVC)), is taking dietary supplements, and has a new prescription for warfarin. The nurse should instruct the client to stop which of the following supplements prior to starting the warfarin? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has thrombophlebitis and is receiving heparin by continuous IV infusion. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse give?

Correct Answer is C

Explanation

A nurse is providing teaching a client who has rheumatoid arthritis and a new prescription for methotrexate. Which of the following instructions should the nurse include? (Select all that apply.)

Correct Answer is ["A","B","C"]

Explanation

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