A nurse is educating a group of clients about the contraindications of warfarin therapy. Which of the following statements should the nurse include in the teaching?

"Clients who have glaucoma should not take warfarin."

"Clients who have rheumatoid arthritis should not take warfarin."

"Clients who are pregnant should not take warfarin."

"Clients who have hyperthyroidism should not take warfarin."

Answer and Explanation

The Correct Answer is C

Warfarin is a coumarin anticoagulant that has potential to increase the risk of bleeding. When taken during pregnancy, warfarin causes fetal bleeding. Warfarin is also teratogenic and it causes various birth defects including skeletal abnormalities, hypoplastic nose, intellectual disabilities and deafness hence it's contraindicated. Pregnant women who require anticoagulation are put of heparin in the place of warfarin to prevent these complications.
A. B, D - are not contraindications for warfarin use.

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Correct Answer is D

Explanation

Tolerance refers to where there is reduced responsiveness to a drug due to prolonged exposure to the drug requiring higher doses to achieve the same effect. This effect requires progressive increment in dosages of the medication which may increase the risk for toxicity.
A. Addiction is characterized by compulsive efforts to acquire the drug despite being aware of its adverse consequences
C and D are not related to the continuous need for higher doses of morphine

A. Tachycardia B. Oliguria C. Constipation D. Drowsiness

Correct Answer is A

Explanation

Theophylline is a potent bronchodilator with potential side effects including tachycardia, heart arrhythmias, diuresis, diarrhea and stimulation of the central nervous system.

B-Theophylline causes diuresis

C-Theophylline causes diarrhea

D-Theophylline causes insomnia, restlessness

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A nurse is educating a group of clients about the contraindications of warfarin therapy. Which of the following statements should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A hospice nurse is caring for a client who has terminal cancer and takes PO morphine for pain relief. The client reports that he had to increase the dose of morphine this week to obtain pain relief. Which of the following scenarios should the nurse document as the explanation for this situation?

Correct Answer is D

Explanation

A nurse is providing discharge instructions to a client who has asthma and is about to Start taking theophylline (Theo-24). The nurse should tell the client that this medication might cause which of the following adverse effects?

Correct Answer is A

Explanation

A nurse is preparing to instill ear drops to a 3-year-old child. Which of the following techniques should the nurse use?

A nurse is teaching a client who has a new prescription for aspirin to treat rheumatoid arthritis. The nurse should include to monitor for which of the following adverse effects of this medication?

A nurse is providing teaching for a client who is on diuretic therapy and has a new prescription for potassium chloride (KCL) 20 mEq extended release PO daily. Which of the following instructions should the nurse provide about the new prescription?

A nurse is preparing to administer nalbuphine to a postoperative client who is experiencing pain. The nurse should monitor the client for Which of the following potential adverse effects of this medication?

A nurse is providing dietary teaching for a client who takes furosemide. The nurse should recommend which of the following foods as the best source of potassium?

A nurse is caring for a client who has prostate cancer. The nurse should expect the provider to prescribe which of the following medications for this client?

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