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 ["A","C","D"]

Explanation

A. Nitroprusside is a potent vasodilator used for rapid reduction of severe hypertension.
B. Heparin is an anticoagulant and not primarily used for immediate blood pressure control.
C. Labetalol is a beta-blocker used in hypertensive emergencies to rapidly lower blood pressure.
D. Nitroglycerin, a vasodilator, is also used to manage chest pain and lower blood pressure in hypertensive emergencies.
E. Digoxin is primarily used for heart failure and arrhythmias, not for acute blood pressure control.

A. Heart Failure B. Drowsiness C. Headache D. Hypertension

Correct Answer is A

Explanation

A. Calcium channel blockers can cause or exacerbate heart failure due to their effects on myocardial contractility and fluid balance. Monitoring for signs of worsening heart failure is crucial.
B. While drowsiness can occur, it is not typically considered a dangerous side effect of calcium channel blockers.
C. Headache is a common side effect of CCBs, but not usually dangerous compared to heart failure.
D. Calcium channel blockers are used to treat hypertension, so they typically would not cause dangerous hypertension.

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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.)

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Naxlex Comprehensive Predictor Exams

A patient has been brought to the emergency department by ambulance experiencing blood pressure 200/130 mmHg with chest pain. The nurse anticipates which of the following medications for immediate treatment of hypertension (Select all that apply.)

Correct Answer is ["A","C","D"]

Explanation

A client is taking a calcium channel blocker (CCB). The nurse knows to monitor for which of the following dangerous side effects of this medication?

Correct Answer is A

Explanation

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