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A nurse is providing education for client newly prescribed warfarin in preparation for being discharged home. Which of the following should be included the teaching plan? (Select all that apply.)

You may start taking warfarin while still on Heparin when you are getting ready be discharged home

You will need to have your aPTT monitored frequently while on Warfarin

Use a soft-bristled toothbrush and avoid brushing too aggressively

You should replace straight razors with an electric shaver to avoid cuts

Increase foods high in vitamin K like dark green leafy vegetables, while taking

Answer and Explanation

Correct Answer : A,C,D

The correct answers are:

A. You may start taking warfarin while still on heparin when you are getting ready to be discharged home.

Warfarin takes several days to reach therapeutic levels, so patients often overlap with heparin until the INR (International Normalized Ratio) reaches the target range (typically 2.0-3.0 for most conditions).

C. Use a soft-bristled toothbrush and avoid brushing too aggressively.

Warfarin increases the risk of bleeding, so using a soft toothbrush helps prevent gum bleeding.

D. You should replace straight razors with an electric shaver to avoid cuts.

Since warfarin thins the blood, small cuts can lead to excessive bleeding. An electric shaver reduces the risk of accidental cuts.

B. You will need to have your aPTT monitored frequently while on Warfarin. (Incorrect)

Warfarin is monitored using INR and PT (Prothrombin Time), not aPTT.
aPTT (Activated Partial Thromboplastin Time) is used to monitor heparin therapy, not warfarin.

E. Increase foods high in vitamin K like dark green leafy vegetables while taking Warfarin. (Incorrect)

Vitamin K counteracts warfarin's effects, so patients should keep their vitamin K intake consistent rather than increasing it.

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Free Nursing Study Resources

Correct Answer is ["2"]

Explanation

Given:

Desired dose: Dextromethorphan 30 mg PO

Available concentration: Dextromethorphan oral liquid 75 mg/5 mL

To find:

Volume to administer (in mL)

Step 1: Set up the proportion

We can use the following proportion to solve the problem:

(Desired dose) / (Available concentration) = Volume to administer

Step 2: Substitute the values

Plugging in the given values, we get:

(30 mg) / (75 mg/5 mL) = Volume to administer

Step 3: Simplify

To simplify, we can invert the denominator and multiply:

(30 mg) x (5 mL / 75 mg) = Volume to administer

The "mg" units cancel out, leaving us with:

(30 x 5 mL) / 75 = Volume to administer

Step 4: Calculate

Performing the multiplication and division, we get:

150 mL / 75 = Volume to administer

2mL = Volume to administer

A. "The test will use a catheter to assess for blocked coronary arteries B. The test can show how well your heart pumps blood." C. The test will show proteins in the blood from damaged heart muscle. D. The test shows the electrical activity of the heart from multiple angles”

Correct Answer is B

Explanation

A) "The test will use a catheter to assess for blocked coronary arteries": This statement is incorrect. An echocardiogram does not involve the use of a catheter. It is a non-invasive imaging test that uses sound waves (ultrasound) to create images of the heart's structure and function. Assessing for blocked coronary arteries typically requires a different procedure, such as a coronary angiogram, which involves the use of a catheter.

B) "The test can show how well your heart pumps blood.": This is the correct statement. An echocardiogram is primarily used to assess how well the heart is functioning, including how effectively it pumps blood. It can provide detailed images of the heart's chambers, valves, and blood flow, helping to evaluate conditions such as heart failure, valve dysfunction, and other structural issues that may impair the heart’s ability to pump blood efficiently.
C) "The test will show proteins in the blood from damaged heart muscle.": This statement is incorrect. An echocardiogram does not measure blood proteins or markers from damaged heart muscle. Blood tests, such as troponin levels, are used to detect proteins released from heart muscle after injury, such as in a heart attack. The echocardiogram focuses on the heart's structure and function, not the chemical markers in the blood.

D) "The test shows the electrical activity of the heart from multiple angles.": This statement is inaccurate. The electrical activity of the heart is assessed by an electrocardiogram (ECG or EKG), not an echocardiogram. An ECG records the heart's electrical signals, while an echocardiogram uses sound waves to visualize the heart's anatomical structure and function.

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A nurse is providing education for client newly prescribed warfarin in preparation for being discharged home. Which of the following should be included the teaching plan? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer dextromethorphan 30 mg PO. The amount available is dextromethorphan oral liquid 7.5 mg/5mL. How many should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero)

Correct Answer is ["2"]

Explanation

The nurse is preparing a client for an echocardiogram. The client asks what the test can show Which of the following is a correct statement?

Correct Answer is B

Explanation

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