The nurse is planning discharge education for a female client who is prescribed warfarin. What information should the nurse plan to include in the teaching? Select all that apply.
Regular laboratory monitoring is required.
Inject this drug subcutaneously in the abdomen.
Avoid medications containing aspirin.
Report heavy menstrual bleeding to the provider.
There are no dietary interactions with warfarin.
Correct Answer : A,C,D
A. Regular laboratory monitoring is required: Warfarin therapy necessitates frequent monitoring of the international normalized ratio (INR) to ensure therapeutic anticoagulation and to prevent bleeding or clotting complications.
B. Inject this drug subcutaneously in the abdomen: Warfarin is administered orally, not via injection. Teaching injection techniques is not applicable and could cause confusion or medication errors.
C. Avoid medications containing aspirin: Aspirin and other NSAIDs can increase the risk of bleeding when taken with warfarin due to additive antiplatelet effects. Clients should be educated to avoid these medications unless approved by their healthcare provider.
D. Report heavy menstrual bleeding to the provider: Heavy or unusual bleeding is a potential sign of warfarin over-anticoagulation. Clients should be instructed to report such symptoms promptly for assessment and possible dosage adjustment.
E. There are no dietary interactions with warfarin: Warfarin interacts with foods high in vitamin K (e.g., leafy greens), which can affect its effectiveness. Clients should be educated on maintaining consistent dietary vitamin K intake rather than assuming no dietary interactions exist.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. I will monitor my heart rate regularly: Beta-blockers reduce heart rate by blocking beta-1 adrenergic receptors in the heart. Regular monitoring helps the client detect bradycardia and recognize when to hold the medication or notify the healthcare provider.
B. I will eat a diet that is low-potassium: Beta-blockers do not significantly affect potassium levels in most clients. Dietary potassium restriction is more relevant for medications such as ACE inhibitors or potassium-sparing diuretics, this statement indicate misunderstanding.
C. I will continue the medication if I get sick: Beta-blockers should not be stopped abruptly, even during illness, due to the risk of rebound hypertension or tachycardia. Continuing the medication unless instructed otherwise reflects appropriate understanding.
D. Beta-blockers may cause me to feel dizzy: Dizziness can occur due to decreased blood pressure and reduced cardiac output, especially when starting therapy or changing positions. Awareness of this effect supports safe medication use and fall prevention.
Correct Answer is D
Explanation
A. Angiotensin receptor blocker: Angiotensin receptor blockers (ARBs) work by blocking angiotensin II receptors to relax blood vessels and reduce blood pressure. Hydralazine does not act on the renin-angiotensin system, so it is not classified as an ARB.
B. Diuretic: Diuretics lower blood pressure by promoting the excretion of sodium and water through the kidneys. Hydralazine does not have diuretic effects and does not alter fluid balance in this way.
C. Alpha receptor blocker: Alpha blockers reduce blood pressure by inhibiting alpha-adrenergic receptors in blood vessels, causing vasodilation. Hydralazine’s mechanism is direct smooth muscle relaxation, not alpha receptor antagonism.
D. Vasodilator: Hydralazine is a direct-acting vasodilator that relaxes arteriolar smooth muscle, leading to decreased systemic vascular resistance and lower blood pressure. It is primarily used in hypertension management and sometimes in heart failure.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.