An older adult patient has been prescribed warfarin (coumadin). The nurses primary intervention involves daily review of the patient's:

reflex tone

body for bruising

serum creatinine level

prothrombin time

Answer and Explanation

The Correct Answer is D

A.   Reflex tone refers to the neurological response of the body to stimuli and is not directly related to the action or monitoring of anticoagulant therapy. While assessing reflexes might be important for overall patient health, it is not specifically relevant to monitoring the effects of warfarin. Reflex tone does not provide information on the anticoagulation status or risk of bleeding associated with warfarin therapy.
B.   Checking the body for bruising helps assess the safety of warfarin therapy and may indicate the need for dosage adjustments or further investigation if bruising is excessive. However, while monitoring for bruising is essential, it is not the primary method for assessing the effectiveness and safety of anticoagulant therapy.
C.   While monitoring kidney function is relevant for overall medication management, it is not the primary focus for directly assessing the effectiveness or safety of warfarin therapy. Kidney function is more related to adjusting doses and avoiding potential complications.
D.   Regularly reviewing PT is crucial for managing warfarin therapy because it directly reflects the anticoagulation effect of the medication. The International Normalized Ratio (INR), derived from PT, is used to ensure the patient is within the therapeutic range for effective anticoagulation while minimizing the risk of bleeding.

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Correct Answer is C

Explanation

A. Disregard is a general term that can refer to a lack of attention or concern. It does not specifically refer to the failure to exercise reasonable care.

B. Malpractice is a specific type of negligence that occurs when a professional person, such as a doctor or nurse, fails to provide services in a reasonably competent manner, resulting in harm to the patient. While negligence is a broader term, malpractice is a more specific term that applies to professionals.
C. Negligence is a legal term that refers to the failure to exercise the degree of care that a reasonable person would exercise in similar circumstances. In the context of nursing, negligence occurs when a nurse commits an act that a prudent nurse should not have done, or omits an act that a prudent nurse should have done, resulting in injury or harm to another person.
D. Neglect is a general term that can refer to the failure to provide for the needs of another person, such as a child or elderly adult. While negligence can involve neglect, it is a broader term that encompasses a wider range of behaviors.

A. "Have you been experiencing pain in your feet?" B. "What were the results of your most recent A1C blood test?" C. "Can you tell me why its important to test your blood glucose level at least daily?" D. "Which pharmacy do you use when your prescription needs to be refilled?"

Correct Answer is C

Explanation

A. This question is specific to a potential complication of diabetes, but it does not directly assess the patient's understanding of their current health problems or the importance of self-monitoring blood glucose levels.
B. This question is about a specific laboratory result, but it does not assess the patient's understanding of the importance of self-monitoring blood glucose levels.
C. This question assesses the patient's understanding of the importance of self-monitoring blood glucose levels, which is crucial for managing diabetes. By understanding the reasons behind this intervention, the patient is more likely to comply with the treatment plan and make informed decisions about their health.
D. This question is about the logistics of medication management, but it does not assess the patient's understanding of their current health problems or the importance of self-monitoring blood glucose levels.

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An older adult patient has been prescribed warfarin (coumadin). The nurses primary intervention involves daily review of the patient's:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the term for the commission of an act that a prudent nurse should not have done, or the omission of an act a prudent nurse should have done, that results in injury or harm to another person?

Correct Answer is C

Explanation

A nurse is assessing a patient's understanding of their current health problems which in turn contributes to proper disease management. Which question by the nurse is most helpful?

Correct Answer is C

Explanation

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