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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Muscle spasms, especially in the face and neck, can be a sign of tardive dyskinesia or acute dystonia, which are serious side effects of chlorpromazine (an antipsychotic). It is important to notify the physician for further evaluation and potential treatment adjustments.
B. Addiction is not a common issue with chlorpromazine; muscle spasms are more likely to be side effects rather than signs of addiction.
C. Muscle spasms are not part of the schizophrenia disease process but are rather side effects of the medication.
D. These symptoms are not considered normal and require medical assessment. They may not resolve on their own and could need intervention.
Correct Answer is D
Explanation
A. Quinidine is used for other types of arrhythmias but is not typically the first choice for recurrent ventricular fibrillation that has not responded to other treatments.
B. Digoxin is used to manage heart failure and atrial fibrillation but is not effective for ventricular fibrillation.
C. Atropine is used for bradycardia, not ventricular fibrillation.
D. Amiodarone is a potent antiarrhythmic agent used for life-threatening ventricular arrhythmias, including ventricular fibrillation, particularly when other treatments have failed.
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