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.

Answer and Explanation

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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Correct Answer is C

Explanation

A. Propranolol can be used to manage angina, as it decreases heart rate and myocardial oxygen demand.
B. Propranolol is often used to treat tachycardia by slowing the heart rate.
C. Beta blockers like propranolol can cause bronchoconstriction, making them contraindicated in patients with asthma due to the risk of exacerbating respiratory issues.
D. Gout is not a contraindication for propranolol use.

A. Hypertension B. Dizziness C. Hyperglycemia D. Hypotension E. Tachycardia

Correct Answer is ["B","D"]

Explanation

A. Losartan is an antihypertensive, so it is intended to lower blood pressure, not cause hypertension.
B. Dizziness is a common side effect due to the blood pressure-lowering effects of losartan, especially when the client changes positions quickly.
C. Hyperglycemia is not a common side effect associated with losartan.
D. Hypotension is a possible side effect, as losartan lowers blood pressure. The nurse should monitor for signs of low blood pressure, especially if the dose is too high or the client is volume depleted.
E. Tachycardia is not a common side effect of losartan.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is screening a client with a new prescription for beta blocker adrenergic propranolol [Inderal LA]. The nurse recognizes that this medication is contraindicated in the presence of which of the following conditions?

Correct Answer is C

Explanation

The nurse is caring for a client diagnosed with hypertension and taking losartan. The nurse should monitor the client for which of the following common side effects of this medication?

Correct Answer is ["B","D"]

Explanation

The nurse is administering the first dose of hydralazine to an older adult. The nurse should place the client on which of the following precautions?

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