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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Cheyne-Stokes respirations: Cheyne-Stokes respirations are characterized by alternating periods of hyperventilation followed by apnea. This respiratory pattern is often observed in clients with conditions affecting the central nervous system, such as brain injury or stroke.
B. Apneustic respirations: Apneustic respirations are characterized by prolonged, gasping inhalations followed by extremely short, ineffective exhalations. This pattern is associated with damage to the pons, a part of the brainstem.
C. Stridor: Stridor is a high-pitched, noisy breathing sound caused by turbulent airflow through a partially obstructed airway. It is not related to the described alternating pattern of hyperventilation and apnea.
D. Kussmaul respirations: Kussmaul respirations are deep, rapid respirations often seen in metabolic acidosis. They are not characterized by the alternating pattern described in the scenario.
Correct Answer is ["A","C","D"]
Explanation
A. Apply pressure to the nares:
Applying gentle pressure to the nares can help control bleeding.
B. Tilt the client's head backward:
Tilt the head forward slightly to prevent blood from flowing down the back of the throat and to avoid swallowing blood.
C. Place ice to the bridge of the client's nose:
Cold packs can help constrict blood vessels and reduce bleeding.
D. Move the client into high-Fowler's position:
Sitting the client upright in a high-Fowler's position can minimize blood flow to the head and reduce bleeding.
E. Instruct the client to blow his nose:
Blowing the nose may disrupt clots and increase bleeding.
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