A nurse is preparing discharge teaching for a client who will be going home on warfarin. Which of these client statements indicates the need for further instruction?
"I should avoid alcohol and herbal remedies while I am taking warfarin."
"If I notice signs of bleeding I will stop taking warfarin and follow up with my doctor in a week."
"I should be consistent with my intake of leafy greens while I am taking warfarin."
"I should have my international normalized ratio (INR) checked regularly while I am on warfarin."
The Correct Answer is B
a) Avoiding alcohol and herbal remedies is a correct instruction because they can interact with warfarin and increase the risk of bleeding.
b) Stopping warfarin abruptly without healthcare provider guidance can be dangerous and increase the risk of thrombosis. Signs of bleeding should be reported promptly to the healthcare provider for appropriate management.
c) Being consistent with the intake of leafy greens is important to maintain a stable INR, as these foods contain vitamin K, which can interfere with warfarin.
d) Regular INR monitoring is essential to ensure that the client is within the therapeutic range and to make adjustments to the warfarin dosage if necessary.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
a) Intravenous trimethoprim/sulfamethoxazole may still induce an adverse reaction, and withholding the oral medication is the more prudent initial action.
b) Administering the dose may worsen the client's condition, and addressing the symptoms requires notifying the provider first.
c) Withholding the treatment and promptly notifying the provider about the observed symptoms is the correct immediate response to potential adverse reactions.
d) Initiating probiotics and tapering off the medication may be considerations, but the urgent action is to withhold the medication and inform the provider.
Correct Answer is C
Explanation
A) Serum creatinine is an important marker of renal function, but specific gravity is more directly related to urine concentration and kidney function.
B) Troponin levels are primarily associated with cardiac function, not renal function.
C) Assessing specific gravity helps evaluate the kidney's ability to concentrate urine and is a valuable indicator of renal function.
D) Sodium levels can be important in assessing electrolyte balance but are not the primary indicator of renal function.
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