A female client who is a vegetarian has a new prescription for warfarin. The client states she eats leafy green vegetables every day. How should the nurse respond?

Suggest that the client replace the leafy vegetables with a protein source such as nuts or beans.

Advise the client that the healthcare provider needs to be made aware of her current diet.

Commend the client for her healthy lifestyle and encourage her to continue her current diet habits.

Confirm that her diet choices will help the medication be more effective in preventing blood clots.

Answer and Explanation

The Correct Answer is B

Choice A rationale: this is not an appropriate response because while it may reduce the intake of vitamin K, suddenly changing the client's diet drastically may not be necessary. It is essential for the healthcare provider to make any necessary adjustments to the medication based on the client's diet.

Choice B rationale: Warfarin is an anticoagulant medication that works by inhibiting the formation of blood clots. It interacts with vitamin K, which plays a crucial role in the blood clotting process. Leafy green vegetables are rich in vitamin K, and their consumption can affect the effectiveness of warfarin. The nurse should advise the client to inform her healthcare provider about her vegetarian diet and the regular consumption of leafy green vegetables. The healthcare provider will then be able to adjust the warfarin dosage accordingly to ensure that the client receives the appropriate and consistent level of anticoagulation.

Choice C rationale: while a vegetarian diet can be healthy, the specific concern here is the potential impact of vitamin K-rich foods on warfarin therapy. It's essential to address this potential interaction rather than focusing solely on the overall healthy lifestyle.

Choice D rationale: Consuming large amounts of leafy green vegetables and vitamin K-rich foods may actually reduce the effectiveness of warfarin, leading to a decreased ability to prevent blood clots. Therefore, it is crucial to consult with the healthcare provider to manage the dosage appropriately.

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Correct Answer is C

Explanation

A. A scratchy throat may indicate mild irritation but is not an immediate reason to stop the infusion unless it progresses.
B. Pupillary constriction is not typically associated with an acute reaction to piperacillin-tazobactam.
C. A sudden increase in blood pressure (hypertension) during the infusion may indicate a serious adverse reaction and is a valid reason to stop the infusion immediately and notify the provider.
D. Bradycardia is not commonly associated with piperacillin-tazobactam infusion reactions and would not automatically warrant stopping the infusion.

A. Relief of depression B. Decreased tremors C. Delay in disease progression D. Improved bladder function

Correct Answer is B

Explanation

Relief of depression Incorrect because anticholinergics do not have antidepressant effects and may worsen depression by causing sedation, confusion or hallucinations.

Decreased tremors Correct because anticholinergics block the action of acetylcholine in the brain and reduce the imbalance between dopamine and acetylcholine that causes tremors in Parkinson's disease.

Delay in disease progression Incorrect because anticholinergics do not modify the underlying pathology of Parkinson's disease and do not prevent neuronal degeneration or dopamine depletion.

Improved bladder function Incorrect because anticholinergics may impair bladder function by causing urinary retention, hesitancy or incontinence due to their antispasmodic effects on the detrusor muscle.

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A female client who is a vegetarian has a new prescription for warfarin. The client states she eats leafy green vegetables every day. How should the nurse respond?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse initiates an infusion of piperacillin-tazobactam for a client with a urinary tract infection. Five minutes into the infusion, the client reports not feeling well. Which client manifestation should the nurse identify as a reason to stop the infusion?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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