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Which of the following would be included in bleeding precautions for a client taking warfarin? SELECT ALL THAT APPLY

A.

Use soft bristled tooth brush

B.

Report black or bloody bowel movements

C.

Limit all fruits and vegetables

D.

Report coffee ground or bloody emesis

E.

Shave with electric razor instead of razor blade

Answer and Explanation

Correct Answer : A,B,D,E

Choice A reason: Using a soft bristled tooth brush can prevent gum bleeding and irritation that may occur with a hard bristled tooth brush. Gum bleeding can be a sign of excessive anticoagulation and increased risk of bleeding. 

Choice B reason: Reporting black or bloody bowel movements is important because it can indicate gastrointestinal bleeding, which can be a serious complication of warfarin therapy. Gastrointestinal bleeding can cause anemia, shock, and even death if not treated promptly. 

Choice C reason: Limiting all fruits and vegetables is not necessary for a client taking warfarin. However, some fruits and vegetables, especially those that are high in vitamin K, can interfere with the effect of warfarin and increase the risk of clotting. Vitamin K is found in green leafy vegetables, such as spinach, kale, broccoli, and cabbage, and some fruits, such as avocado, kiwi, and grapes. The client should maintain a consistent intake of vitamin K and avoid sudden changes in their diet. 

Choice D reason: Reporting coffee ground or bloody emesis is also important because it can indicate upper gastrointestinal bleeding, which can be another serious complication of warfarin therapy. Upper gastrointestinal bleeding can cause hematemesis, melena, anemia, and hypovolemic shock. 

Choice E reason: Shaving with an electric razor instead of a razor blade can prevent skin cuts and bleeding that may occur with a razor blade. Skin cuts and bleeding can be a sign of excessive anticoagulation and increased risk of bleeding. 


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Related Questions

Correct Answer is ["31"]

Explanation

To calculate the IV flow rate in drops per minute (gtt/min), we can use the following steps:

Calculate the total number of minutes for the infusion:

8 hours × 60 minutes/hour = 480 minutes

Determine the total number of drops needed for the infusion:

The total volume to be infused is 1000 mL.

The drop factor is 15 gtt/mL.

1000 mL × 15 gtt/mL = 15000 gtt

Calculate the IV flow rate in drops per minute:

15000 gtt ÷ 480 min ≈ 31 gtt/min

Rounding to the nearest whole number, the nurse should set the IV flow rate to deliver 31 gtt/min.

Correct Answer is ["1.1"]

Explanation

To calculate the amount of cefazolin that the nurse should add to the 50 mL of 0.9% sodium chloride, we can use the following steps:

Calculate the amount of cefazolin needed to prepare the solution:

  • The concentration to be achieved is 225 mg/mL.
  • The required dose is 250 mg.

Calculate the volume of cefazolin needed:

  • 250 mg ÷ 225 mg/mL = 1.111... mL
  • Rounded to the nearest tenth, the nurse should add 1.1 mL of cefazolin to the 50 mL of 0.9% sodium chloride.

Therefore, the nurse should add 1.1 mL of cefazolin to the 50 mL of 0.9% sodium chloride to prepare the solution for IV administration.

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