A nurse is reinforcing teaching with a client who is postpartum and receiving warfarin for deep-vein thrombosis. Which of the following instructions should the nurse include?
"Take 650 milligrams of aspirin for leg discomfort."
"You should not take oral contraceptives while taking this medication."
"You will be able to stop taking this medication in 2 weeks."
"Use a disposable razor for shaving while taking this medication."
The Correct Answer is B
- Rationale for A: Aspirin is an antiplatelet agent and can increase the risk of bleeding, especially when combined with warfarin, an anticoagulant. Therefore, taking aspirin for leg discomfort is not recommended as it can exacerbate bleeding risks.
- Rationale for B: Oral contraceptives can interfere with the effectiveness of warfarin and increase the risk of thrombotic events. Women taking warfarin, especially in the postpartum period, should avoid oral contraceptives due to the potential for increased blood clotting.
- Rationale for C: The duration of warfarin therapy for deep-vein thrombosis is typically longer than 2 weeks. It is determined by the physician based on the extent of the clot and the patient's response to the medication.
- Rationale for D: Using a disposable razor can help minimize the risk of cuts and subsequent bleeding, which is a concern when taking anticoagulants like warfarin. It is a safer alternative to other shaving methods that may cause skin abrasions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Yogurt is an excellent source of calcium and is recommended to increase calcium intake during pregnancy. Adequate calcium is important for fetal bone development and maternal health.
B. Peanut butter is a good source of protein and healthy fats but is not high in calcium. It does not effectively address a low calcium level compared to dairy products or fortified foods.
C. Long-grain rice is a staple food but does not provide significant amounts of calcium. It is a carbohydrate source rather than a calcium-rich food.
D. Avocados are nutritious and provide healthy fats, but they are not significant sources of calcium. To correct a calcium deficiency, foods rich in calcium are needed.
Correct Answer is B
Explanation
A. Pruritus is not a common manifestation of hyperemesis gravidarum; it might be associated with liver conditions or other issues.
B. Decreased blood pressure can be an expected manifestation in hyperemesis gravidarum due to dehydration and possible hypovolemia.
C. Hemoglobin of 18 g/dL is higher than normal; hyperemesis gravidarum often leads to decreased hemoglobin due to malnutrition and dehydration.
D. A WBC count of 15,000/mm³ is slightly elevated but not specific for hyperemesis gravidarum; it might be indicative of an infection or inflammation, but it is not a defining characteristic of the condition.
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