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Which statement by a client indicates an understanding of self-care precautions when taking warfarin?

"My warfarin dose may need to be readjusted when I take a course of antibiotics."

"I should expect pink urine due to metabolic bi-products of the dye used in this medication."

"I should eat spinach to increase my iron count if my INR goes below two."

"Herbal remedies are fine, but I shouldn't take aspirin without consulting my provider."

Answer and Explanation

The Correct Answer is A

A) Antibiotics can interact with warfarin, potentially affecting the INR, so dose adjustments may be necessary.

B) Pink urine is not an expected side effect of warfarin; this statement is inaccurate.

C) Eating spinach to increase iron count is not a relevant action related to warfarin or INR levels.

D) Warfarin interacts with many substances, including herbal remedies and aspirin. Notifying the provider before taking new medications or supplements is crucial for proper management.

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Correct Answer is ["A","C","D"]

Explanation

a. This statement warrants further education because enteric-coated aspirin is specifically designed to be absorbed in the small intestine and should not be chewed. Chewing the enteric coated aspirin can interfere with its protective coating and may lead to stomach irritation.

b. This statement is correct. Taking the aspirin with food can help minimize stomach irritation.

c. This statement warrants further education. Aspirin, even in low doses, should not be given to young children without consulting a healthcare provider due to the risk of Reye's syndrome.

d. This statement warrants further education. Ringing in the ears (tinnitus) is not a normal side effect of aspirin, and persistent symptoms should be reported to the healthcare provider.

e. This statement is correct. Black, tarry stools can indicate gastrointestinal bleeding, and the healthcare provider should be notified promptly.

A. Oral medications are contraindicated in infants. B. Breastfeeding infants are more likely to develop toxicity when given lipid-soluble drugs. C. Immaturity of renal function in infancy causes infants to excrete drugs less efficiently. D. Infants are more sensitive to medications that act on the central nervous system. E. Infants have immature livers, which slow drug metabolism.

Correct Answer is ["C","D","E"]

Explanation

a) This is false because oral medications can be given to infants if they are in liquid form, have a suitable dose, and are administered with a dropper or syringe. However, oral medications should be given with caution and only when prescribed by a doctor.

b) This is false because lipid-soluble drugs are not easily passed into breast milk and do not affect breastfeeding infants. However, some drugs can be harmful to breastfeeding infants and should be avoided or used with caution by nursing mothers.

c) Immaturity of renal function in infancy affects drug excretion, potentially leading to prolonged drug effects and increased risk of toxicity.

d) Infants are more sensitive to medications that act on the central nervous system, and dose adjustments may be needed to prevent adverse effects.

e) Immature liver function in infants can slow down drug metabolism and elimination, leading to a higher risk of drug accumulation and toxicity.

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Which statement by a client indicates an understanding of self-care precautions when taking warfarin?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client has been prescribed 81 mg of enteric coated aspirin every morning. Which of these statements by the client warrants further education?

Correct Answer is ["A","C","D"]

Explanation

When administering medications to infants, it is essential to remember which of the following? (Select all that apply.)

Correct Answer is ["C","D","E"]

Explanation

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The nurse is talking with a new mother about medications that can be safely resumed now that she is no longer pregnant. All the following medications are contraindicated during pregnancy, but which one may be ingested while breastfeeding without causing known infant harm?