A nurse reviews the medication list for a client with a new warfarin prescription. The nurse should recognize which of the following medications is incompatible with warfarin.

Alprazolam

Vitamin K

Furosemide

Vitamin A

Answer and Explanation

The Correct Answer is B

A. Alprazolam does not have significant interactions with warfarin.
B. Vitamin K antagonizes the effects of warfarin by promoting clotting factor synthesis, decreasing warfarin’s effectiveness.
C. Furosemide does not directly interact with warfarin but requires monitoring for electrolyte imbalance.
D. Vitamin A does not interfere with warfarin therapy.

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Correct Answer is B

Explanation

A. Asking about skin color changes can provide information about vascular problems like Raynaud’s phenomenon but is not the priority given the client’s symptoms.
B. Palpating the dorsalis pedis and posterior tibial pulses assesses arterial blood flow, which is crucial because the client’s symptoms suggest peripheral arterial disease (intermittent claudication). This is the priority assessment.
C. Checking for tortuous veins assesses venous insufficiency or varicose veins, which do not align with the client’s symptoms.
D. Assessing for unilateral swelling, redness, and tenderness checks for deep vein thrombosis (DVT), which is unlikely based on the pain that resolves with rest.

A. Place the client in a supine position postoperatively B. Instruct the client to lift over 4.5 kg (10 lb) C. Encourage ambulation once fully awake D. Offer the client ice cream postoperatively

Correct Answer is C

Explanation

A. The client should be positioned to optimize comfort and respiratory function, often semi-Fowler’s, not strictly supine.
B. Clients should avoid lifting heavy objects (over 10 lb) to prevent strain on surgical sites.
C. Early ambulation promotes circulation, prevents complications, and is encouraged once the client is alert and stable.
D. Ice cream is typically not recommended immediately postoperatively due to nausea risk and dietary restrictions.

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A nurse reviews the medication list for a client with a new warfarin prescription. The nurse should recognize which of the following medications is incompatible with warfarin.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While a nurse is assessing a 63-year-old client at the clinic, the client states, "I have always taken an evening walk, but lately, my leg cramps and hurts after just a few minutes of walking. The pain goes away after I stop walking, though." Which of the following should the nurse do first?

Correct Answer is B

Explanation

A nurse is providing care for a client who had a laparoscopic cholecystectomy. Which of the following is an appropriate nursing action postoperatively?

Correct Answer is C

Explanation

A nurse is preparing to administer lispro insulin to a client who has type 1 diabetes mellitus. Which of the following actions should the nurse take?

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A nurse provides preoperative teaching by demonstrating diaphragmatic breathing to a client scheduled for surgery in the morning. Which of the following actions should the nurse include in the demonstration?

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The client is admitted to the medical unit with suspected acute pancreatitis. Which laboratory values should the nurse monitor to confirm this diagnosis?

A client admitted to the hospital with chest pain and a history of type 2 diabetes mellitus is scheduled for a CT scan with contrast. Which medication must be withheld 24-48 hours before and restarted 48 hours after the procedure?

The nurse is providing education to a client with chronic arterial insufficiency. Which client statement indicates the need for additional teaching?