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

Use soft bristled tooth brush

Report black or bloody bowel movements

Limit all fruits and vegetables

Report coffee ground or bloody emesis

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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Correct Answer is ["4.5"]

Explanation

To calculate the dose of ondansetron that the nurse should administer, we can follow these steps:

Convert the client's weight from pounds to kilograms:

132 lb ÷ 2.2 = 60 kg

Calculate the dose of ondansetron:

0.15 mg/kg × 60 kg = 9 mg

Determine the volume of ondansetron needed using the available concentration:

9 mg ÷ 2 mg/mL = 4.5 mL

Rounding to the nearest tenth, the nurse should administer 4.5 mL of ondansetron via IV.

Correct Answer is ["3"]

Explanation

To calculate the amount of hydrocortisone to administer, we can use the following formula:

Amount to administer (mL) = (Desired dose (mg) / Available dose (mg/mL))

Plugging in the given values:

Amount to administer (mL) = (150 mg / 50 mg/mL)

Now, let's solve for the amount to administer:

Amount to administer (mL) = (150 / 50) = 3 mL

So, the nurse should administer 3 mL of hydrocortisone via IV bolus.

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

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer ondansetron 0.15 mg/kg IV to a client who weighs 132 lb. Available is ondansetron 2 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["4.5"]

Explanation

A nurse is preparing to administer hydrocortisone 150 mg via IV bolus. Available is hydrocortisone 50 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["3"]

Explanation

What labs would indicate a client may need a prescription for an HMG-CoA reductase inhibitor, such as atorvastatin?

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

A nurse is obtaining a medication history from a client who reports taking 1 oz of magnesium hydroxide daily as a laxative. The nurse should identify that this dose equates to how many mL? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)