The nurse is preparing discharge instructions for a patient taking warfarin (Coumadin). Which would the nurse correctly include in the discharge instructions? (Select all that apply.)
Eat 3-5 large salads per week for roughage.
Carry an emergency ID identifying that you take warfarin (Coumadin).
Avoid hazardous activities such as football and hockey.
Follow-up with healthcare provider and obtain lab work regularly.
You may drink no more than 1-2 alcoholic beverages per day with this drug.
Correct Answer : B,C,D
A. Leafy greens can affect warfarin effectiveness, so clients should be advised on consistent intake rather than large quantities.
B. Carrying an emergency ID is important for identification in case of an accident.
C. Hazardous activities should be avoided to reduce the risk of bleeding.
D. Regular follow-up and lab work are essential for monitoring INR levels and adjusting dosages.
E. Alcohol can interact with warfarin, so the intake should be limited and discussed with a healthcare provider.
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Related Questions
Correct Answer is D
Explanation
A. Hydralazine (Apresoline) is an antihypertensive medication and is not treated with protamine sulfate.
B. Diphenhydramine (Benadryl) is an antihistamine, and protamine sulfate is not used for its overdose.
C. Coumadin (Warfarin) is an anticoagulant, but protamine sulfate specifically reverses heparin, not warfarin.
D. Protamine sulfate is an antidote used to reverse the effects of heparin, a blood thinner.
Correct Answer is B
Explanation
A. Renal function tests are important for overall health but are not the priority in this scenario.
B. Propranolol can mask the symptoms of hypoglycemia, which is a common complication in clients with type 1 diabetes. The nurse should first check the client's blood glucose level to assess for hypoglycemia.
C. While blood pressure is important, the symptoms described are more indicative of hypoglycemia.
D. Serum electrolyte levels might be relevant but are not the immediate concern with the described symptoms.
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