A nurse is reinforcing discharge teaching for a client who will be taking warfarin (Coumadin) at home. Which of the following statements indicates that the client understands the effects of this medication?

To be sure to eat foods with lots of vitamin K.

Not to take aspirin for my headaches.

That it's okay to have a couple of glasses of wine with dinner.

To use my electric razor for shaving.

Answer and Explanation

The Correct Answer is B

Choice A : While vitamin K is essential for normal blood clotting, warfarin works by blocking the action of vitamin K. Therefore, clients taking warfarin should maintain a consistent intake of vitamin K-rich foods to avoid fluctuations in their response to the medication. Inconsistent vitamin K intake can affect the effectiveness of warfarin. The nurse should educate the client to consume a consistent amount of vitamin K-containing foods rather than emphasizing "lots" of vitamin K.

Choice B : Warfarin is an anticoagulant that increases the risk of bleeding. Taking aspirin (another blood-thinning medication) along with warfarin can further enhance this risk. The nurse should emphasize that clients should avoid taking aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs) without consulting their healthcare provider while on warfarin therapy.

Choice C : Alcohol can interact with warfarin and increase the risk of bleeding. Clients should be advised to limit alcohol consumption while taking warfarin. The nurse should educate the client that alcohol intake should be moderate and consistent, rather than encouraging wine consumption.

Choice D :While it is essential to minimize the risk of cuts and bleeding, the use of an electric razor is not specific to warfarin therapy. Clients should be cautious with any sharp objects, including razors, to prevent bleeding. The nurse should provide general safety instructions for shaving, but this choice does not directly relate to warfarin effects.

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

Explanation

Choice A reason : Documenting the frequency of blood pressure measurements is crucial for monitoring trends and identifying any changes that may indicate a health issue. It helps in assessing the effectiveness of interventions and in making informed clinical decisions.

Choice B reason : Recording the interventions implemented in response to a high blood pressure reading is important for continuity of care. It ensures that all healthcare providers are aware of the actions taken and can evaluate their effectiveness.

Choice C reason : Noting the patient's response to interventions provides insight into the efficacy of the treatment plan. It is essential for adjusting care plans and for healthcare providers to understand the patient's progress.

Choice D reason : Identifying the person who obtained the blood pressure reading is a part of proper documentation practices. It allows for accountability and follow-up if there are any questions or concerns about the reading.

Choice E reason : The site where the blood pressure was taken can affect the reading. Documenting this information helps to ensure that readings are consistent and comparable over time. It is also important in case an alternative site needs to be used in future measurements.

A. a: Cough B. b: Bradycardia C. c: Constipation D. d: Headache

Correct Answer is B

Explanation

Choice A reason: Cough is not commonly associated with atenolol. Atenolol is a beta-blocker used to treat hypertension and is less likely to cause respiratory side effects compared to some other classes of antihypertensive medications.

Choice B reason: Bradycardia, or a slower than normal heart rate, is a well-documented adverse effect of atenolol. Atenolol works by blocking beta-1 receptors in the heart, which can reduce the heart rate. Normal heart rate ranges for infants (1 to 11 months old) are 80-160 beats per minute (BPM), and for toddlers (1-2 years old), it's 80-130 BPM. Bradycardia would be defined as a heart rate below these normal ranges. It is important for patients starting atenolol to monitor their pulse regularly and report any significant decrease in heart rate to their healthcare provider.

Choice C reason: While constipation can be a side effect of many medications, it is not a common adverse effect of atenolol. Atenolol does not typically affect the gastrointestinal system to the extent that it causes constipation.

Choice D reason: Headache is not a typical adverse effect of atenolol. While headaches can occur for a variety of reasons, they are not directly linked to the pharmacological action of atenolol on the cardiovascular system.

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A nurse is reinforcing discharge teaching for a client who will be taking warfarin (Coumadin) at home. Which of the following statements indicates that the client understands the effects of this medication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with teaching a class about documenting blood pressure. The nurse should include documenting which of the following information?

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

Explanation

A nurse is caring for a client who has hypertension and is to start taking atenolol. The nurse should instruct the client to monitor for which of the following findings as an adverse effect of this medication?

Correct Answer is B

Explanation

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