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?
"Use a disposable razor for shaving while taking this medication."
"You should not take oral contraceptives while taking this medication."
"Take 650 milligrams of aspirin for leg discomfort."
"You will be able to stop taking this medication in 2 weeks."
The Correct Answer is B
A. Incorrect. While using a disposable razor is a precaution for individuals taking anticoagulants to reduce the risk of bleeding, it is not specific to warfarin.
B. Correct. Taking oral contraceptives along with warfarin can increase the risk of bleeding.
Therefore, the client should be advised not to take oral contraceptives while on warfarin.
C. Incorrect. Aspirin is not typically recommended for pain relief in individuals taking warfarin due to the increased risk of bleeding.
D. Incorrect. The duration of warfarin therapy is individualized based on the specific condition being treated. It is not a fixed 2-week period.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","E"]
Explanation
A. Excessive lanugo:
This is incorrect. Excessive lanugo is more commonly seen in preterm newborns. Post-term newborns, such as those born at 43 weeks of gestation, typically have little to no lanugo due to its shedding during late gestation.
B. Hypotonia:
This is incorrect. Hypotonia (reduced muscle tone) is not a characteristic finding in post-term newborns. Post-term infants generally exhibit normal or increased muscle tone, unless there is an underlying condition or birth complication.
C. Absent vernix:
This is correct. Vernix caseosa, a protective substance that coats the skin in utero, is typically absent or minimal in post-term newborns because it is reabsorbed in the amniotic fluid as gestation progresses beyond term.
D. Dry, cracked skin:
This is correct. Post-term newborns often have dry, peeling, or cracked skin due to prolonged exposure to amniotic fluid. The lack of vernix exacerbates this condition, leading to skin that appears weathered or desquamated.
E. Long, hard nails:
This is correct. Post-term newborns frequently have long, hard nails that may extend beyond the fingertips. This is a result of extended fetal development time in utero
Correct Answer is ["1123"]
Explanation
- To use Naegele's rule, add 7 days to the first day of the last menstrual period and subtract 3 months.
- In this case, adding 7 days to February 16 gives February 23, and subtracting 3 months gives November 23.
- Therefore, the estimated date of birth is 1123.
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