A nurse in a clinic is caring for a client who has recently begun taking warfarin. The nurse is reviewing potential drug and food interaction risks and should instruct the client to avoid which of the following?

Cabbage

Green beans

White beans

Cantaloupe

Answer and Explanation

The Correct Answer is A

A. Cabbage: This is the correct answer. Cabbage is a food high in vitamin K, which can antagonize the effects of warfarin. Warfarin is an anticoagulant that works by inhibiting vitamin K-dependent clotting factors. Consistent intake of vitamin K-rich foods, such as cabbage, can affect the stability of the client's international normalized ratio (INR).

B. Green beans: Green beans are not particularly high in vitamin K, and their consumption is not usually restricted for clients taking warfarin.

C. White beans: White beans are not particularly high in vitamin K, and their consumption is not usually restricted for clients taking warfarin.

D. Cantaloupe: Cantaloupe is not high in vitamin K, and its consumption is not usually restricted for clients taking warfarin.

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Correct Answer is A

Explanation

A. Cellular hypoxia: Hemoglobin carries oxygen to the body's tissues. A low hemoglobin level, as well as a low hematocrit, indicates a reduced oxygen-carrying capacity of the blood, putting the client at risk for cellular hypoxia. Symptoms may include fatigue, weakness, and shortness of breath.

B. Prolonged bleeding: Hemoglobin and hematocrit levels are not directly indicative of a risk of prolonged bleeding. Prolonged bleeding is more related to platelet function and clotting factors.

C. Impaired immunity: Hemoglobin and hematocrit levels are not directly indicative of impaired immunity. Immune function is more closely associated with white blood cell count and function.

D. Fluid retention: Hemoglobin and hematocrit levels are not directly associated with fluid retention. Fluid retention is more related to factors such as sodium balance and kidney function.

A. Troponin is a lipid whose levels reflect the risk for coronary artery disease. B. Troponin is an enzyme that indicates damage to brain, heart, and skeletal muscle tissues. C. Troponin is a protein that helps transport oxygen throughout the body. D. Troponin is a heart muscle protein that appears in the bloodstream when there is damage to the heart

Correct Answer is D

Explanation

A. Troponin is a lipid whose levels reflect the risk for coronary artery disease: This statement is incorrect. Troponin is not a lipid, and its levels do not reflect the risk for coronary artery disease. Troponin is a protein associated with muscle tissue.

B. Troponin is an enzyme that indicates damage to brain, heart, and skeletal muscle tissues: While troponin indicates damage to muscle tissues, it is specifically associated with cardiac muscle, not brain or skeletal muscle tissues.

C. Troponin is a protein that helps transport oxygen throughout the body: This statement is incorrect. While proteins in the blood may contribute to oxygen transport, troponin's primary role is in muscle contraction, particularly in the heart.

D. Troponin is a heart muscle protein that appears in the bloodstream when there is damage to the heart: This is the correct answer. Troponin is a protein found in cardiac muscle cells, and when there is damage to the heart, such as during a myocardial infarction, troponin is released into the bloodstream. Elevated troponin levels in the blood are indicative of myocardial injury or infarction.

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A nurse in a clinic is caring for a client who has recently begun taking warfarin. The nurse is reviewing potential drug and food interaction risks and should instruct the client to avoid which of the following?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

Correct Answer is D

Explanation

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