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 D

Explanation

A. Hypertension is not a side effect but a condition that these medications are used to treat. ACE inhibitors and ARBs are primarily used to manage hypertension.
B. Both ACE inhibitors and ARBs are used to treat heart failure, not just ACE inhibitors.
C. Both ARBs and ACE inhibitors can affect potassium levels, and ACE inhibitors can impact white blood cell counts. Monitoring is required.
D. Both ARBs and ACE inhibitors are contraindicated during pregnancy due to potential risks to the fetus, such as renal damage and other complications.

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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The clinic nurse is teaching a community class about Angiotensin-Converting Enzyme (ACE) inhibitors and Angiotensin II Receptor Blockers (ARBs). Which of the following should be included in the teaching?

Correct Answer is 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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