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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Decreasing BP is correct; other options don’t apply. This choice errors per nursing pharmacology. It’s universally distinct, denies the right answer.
Choice B reason: Vasotec, an ACE inhibitor, lowers BP by vessel relaxation. This aligns with nursing pharmacology standards. It’s universally applied, distinctly effective.
Choice C reason: Elevating BP opposes ACE inhibitor action entirely. Lowering is correct. This errors per nursing standards. It’s universally distinct, reverses function.
Choice D reason: No effect contradicts Vasotec’s BP-lowering purpose. This choice misaligns with nursing pharmacology. It’s universally distinct, errors in drug role.
Correct Answer is D
Explanation
Choice A reason: Skipping tube placement risks misdelivery; full protocol ensures safety. Residual check alone isn’t enough, per nursing standards. This misses a critical step, universally distinct as incomplete for safe tube administration.
Choice B reason: No placement verification risks errors; drugs need flushing between. This lacks a key safety check, per nursing pharmacology. It’s universally insufficient, distinctly omitting tube confirmation for effective delivery.
Choice C reason: Missing placement and residual checks, plus no flush between drugs, risks errors. Full protocol is safer, per nursing standards. This shortcut fails universally, distinctly compromising medication administration accuracy.
Choice D reason: Checking placement, residual, and flushing between digoxin and propranolol ensures safety and efficacy. This full process aligns with nursing tube administration standards, universally recognized and distinctly applied for best outcomes.
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