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A nurse is teaching a client who has a prescription for warfarin. Which of the following statements by the client indicates an understanding of the teaching?

"I should not take a St. John's wort supplement."

"I should use a hard bristle toothbrush."

"I should get my INR checked once a year."

"I should not eat cantaloupe while taking the medication."

Answer and Explanation

The Correct Answer is A

A. St. John's wort can decrease the effectiveness of warfarin, so it should be avoided.

B. Using a hard bristle toothbrush could cause gum bleeding in clients taking warfarin and should be avoided.

C. INR should be checked regularly, not just once a year, to monitor the therapeutic range for warfarin.

D. There is no known interaction between cantaloupe and warfarin.

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Correct Answer is A

Explanation

A. Medication reconciliation should be performed when a client is transferred between units or care settings, such as a transfer to a step-down unit, to ensure that the correct medications are administered and there are no discrepancies.

B. Consultation for physical therapy does not require medication reconciliation.

C. Transport to radiology does not warrant medication reconciliation as there is no change in care setting or medications.

D. Referral for social services does not involve a change in medication orders and does not require medication reconciliation.

A. Monitor the client's weight weekly. B. Perform blood glucose monitoring hourly. C. Change the IV dressing every 96 hours. D. Change the IV tubing every 24 hours.

Correct Answer is D

Explanation

A. Monitoring weight weekly is important for tracking nutritional status but does not directly prevent adverse effects of TPN.

B. Performing blood glucose monitoring hourly is excessive unless the client has a significant issue with blood glucose control.

C. Changing the IV dressing every 96 hours is too long; the dressing should be changed every 48–72 hours to prevent infection.

D. Changing the IV tubing every 24 hours is correct to reduce the risk of infection and contamination in TPN administration.

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A nurse is teaching a client who has a prescription for warfarin. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

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