After a successful cardioversion, a male client with a new onset of atrial fibrillation receives a prescription for an anticoagulant. What instruction should the practical nurse (PN) reinforce with the client?

Take the medication before meals.

Use electric razor when shaving.

Eat green leafy vegetables high in vitamin K.

If a dose is missed, double the next dose.

Answer and Explanation

The Correct Answer is B

Choice A: Taking the medication before meals is not a specific instruction for anticoagulant therapy. The timing of anticoagulant administration can vary depending on the specific medication and dosing regimen.

Choice B: Using an electric razor when shaving is an important instruction for clients on anticoagulant therapy. Anticoagulants can increase the risk of bleeding, and using a manual razor could lead to cuts or nicks that may be harder to control.

Choice C: Eating green leafy vegetables high in vitamin K is a relevant instruction for clients taking warfarin, an anticoagulant. However, it should be emphasized that consistent intake of vitamin K-rich foods is important to maintain consistent anticoagulation levels, rather than avoiding these foods altogether.

Choice D: Instructing the client to double the next dose if a dose is missed is not appropriate for anticoagulant therapy. Missing a dose should be addressed according to the healthcare provider's guidance and may involve taking the missed dose as soon as remembered or skipping it and continuing with the regular dosing schedule.

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Correct Answer is D

Explanation

Choice A: A mechanical soft diet may still require some degree of chewing, which may be difficult for a client with no teeth. A pureed diet would be a more appropriate choice.

Choice B: A soft low-residue diet may include soft foods that require chewing, which could be challenging for a client with no teeth.

Choice C: A full liquid diet consists of liquids and foods that are in liquid form at room temperature, which may not provide adequate nutrition for the client.

Choice D: A pureed diet involves blending foods to a smooth consistency, making them suitable for clients with no teeth or difficulty chewing. It would be the most appropriate choice.

A. Keep a record of food and drinks consumed daily. B. Participate in a group exercise class 3 times a week. C. Engage in strenuous activity for an hour daily. D. Plan low carbohydrate and high protein meals.

Correct Answer is A

Explanation

Choice A: Keeping a record of food and drinks consumed daily, often referred to as food journaling or keeping a food diary, is a recommended initial approach to a weight loss plan. It helps clients become aware of their eating habits and can assist in identifying areas where dietary changes may be needed.

Choice B: Participating in a group exercise class 3 times a week is a beneficial component of a weight loss plan, but it is not specifically related to the initial approach to weight loss.

Choice C: Engaging in strenuous activity for an hour daily can be part of a weight loss plan, but it may not be the initial approach for everyone, especially if the client is not currently physically active. The initial approach often involves dietary changes and gradually increasing physical activity.

Choice D: Planning low carbohydrate and high protein meals can be a dietary strategy for weight loss, but it may not be the initial approach for all clients. Dietary recommendations should be individualized based on the client's preferences and needs.

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After a successful cardioversion, a male client with a new onset of atrial fibrillation receives a prescription for an anticoagulant. What instruction should the practical nurse (PN) reinforce with the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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