Which of the following statements by a client receiving warfarin (Coumadin) indicates the need for further teaching?
"I use a laxative every other day."
"I use antacids once in a while."
"I ate some corn yesterday."
"I always have aspirin with me to take for my headaches."
The Correct Answer is D
Choice A reason: Laxatives don’t significantly affect warfarin’s anticoagulation; this is safe. Aspirin increases bleeding risk, needing teaching, per nursing pharmacology. It’s a universal distinction, distinctly unrelated to warfarin’s primary concerns.
Choice B reason: Occasional antacids minimally impact warfarin; this is acceptable. Aspirin’s bleeding risk is the issue, per nursing standards. This doesn’t require teaching, universally distinct from anticoagulation education.
Choice C reason: Corn has negligible vitamin K; it doesn’t affect warfarin. Aspirin use needs correction, per nursing pharmacology. This is safe, universally distinct from dietary teaching for anticoagulants.
Choice D reason: Aspirin with warfarin heightens bleeding risk significantly; this requires teaching. Other statements are benign, per nursing standards. It’s a universal concern, distinctly critical for safe anticoagulation management.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
Choice A reason: Laxatives don’t significantly affect warfarin’s anticoagulation; this is safe. Aspirin increases bleeding risk, needing teaching, per nursing pharmacology. It’s a universal distinction, distinctly unrelated to warfarin’s primary concerns.
Choice B reason: Occasional antacids minimally impact warfarin; this is acceptable. Aspirin’s bleeding risk is the issue, per nursing standards. This doesn’t require teaching, universally distinct from anticoagulation education.
Choice C reason: Corn has negligible vitamin K; it doesn’t affect warfarin. Aspirin use needs correction, per nursing pharmacology. This is safe, universally distinct from dietary teaching for anticoagulants.
Choice D reason: Aspirin with warfarin heightens bleeding risk significantly; this requires teaching. Other statements are benign, per nursing standards. It’s a universal concern, distinctly critical for safe anticoagulation management.
Correct Answer is B
Explanation
Choice A reason: BP every 4 hours isn’t universal; slow rising is key. This errors per nursing standards. It’s universally distinct, not the primary responsibility.
Choice B reason: Teaching slow position changes prevents antihypertensive-induced dizziness. This fits nursing pharmacology standards. It’s universally applied, distinctly critical for safety.
Choice C reason: Stopping meds needs orders; slow rising manages drops. This misaligns with nursing pharmacology. It’s universally distinct, errors in protocol.
Choice D reason: Tachycardia doesn’t justify dose increase; slow rising helps. This errors per nursing standards. It’s universally distinct, off responsibility mark.
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