The nurse is caring for a client receiving warfarin. The nurse should educate the client to avoid significantly increasing or decreasing their intake of which food?
Chicken breast
Brussels sprouts
Whole milk
Salami
The Correct Answer is B
A. Chicken breast: Chicken breast is low in vitamin K and does not significantly affect warfarin’s anticoagulant effect. Regular consumption does not require adjustment in warfarin dosing, so it is generally safe to eat without major concern.
B. Brussels sprouts: Brussels sprouts are high in vitamin K, which can interfere with warfarin’s effectiveness by promoting clotting. Sudden increases or decreases in intake can cause fluctuations in INR levels, making it essential for clients to maintain a consistent intake.
C. Whole milk: Whole milk contains minimal vitamin K and does not significantly impact warfarin therapy. While it provides nutrients, it does not pose a risk for altering anticoagulation and does not require dietary restrictions for warfarin management.
D. Salami: Salami is high in sodium and fat but low in vitamin K, so it does not directly affect warfarin activity. While clients should monitor overall diet for cardiovascular health, salami intake does not necessitate strict control for anticoagulation purposes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Hyperglycemia: Fenofibrate primarily affects lipid metabolism and is not commonly associated with causing high blood glucose levels. While monitoring is important in clients with diabetes, hyperglycemia is not a typical adverse effect of this medication.
B. Increased hemoglobin: Fenofibrate does not influence hemoglobin levels. Any changes in hemoglobin are unlikely to be related to fenofibrate therapy and should prompt evaluation for other underlying conditions.
C. Hepatotoxicity: Fenofibrate can cause liver injury, evidenced by elevated liver enzymes or other signs of hepatotoxicity. Monitoring liver function tests before and during therapy is essential to detect adverse effects early and prevent serious liver complications.
D. Fever: Fever is not a recognized adverse effect of fenofibrate. If a client develops fever, other causes such as infection or unrelated inflammatory processes should be investigated rather than attributing it to the medication.
Correct Answer is A
Explanation
A. "Heparin will help prevent the development of a blood clot.": Heparin is an anticoagulant that works by inhibiting clotting factors, reducing the risk of new clot formation. It does not dissolve existing clots but is essential in preventing progression or formation of additional thrombi.
B. "Heparin will help to stabilize your blood pressure and heart rate.": Heparin does not have effects on cardiovascular parameters such as blood pressure or heart rate. Monitoring vital signs is important during therapy, but the medication’s purpose is anticoagulation, not hemodynamic stabilization.
C. "Heparin will help to break down the existing clot in your leg.": Heparin prevents further clot formation but does not actively dissolve existing thrombi. Thrombolytic medications, not heparin, are used for clot breakdown.
D. "Heparin will help increase the number of platelets in the body.": Heparin can actually decrease platelet count in some cases (heparin-induced thrombocytopenia), so it does not increase platelet levels. Its mechanism is anticoagulation through inhibition of clotting factors, not platelet production.
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