A nurse in a clinic is reviewing teaching about food choices with a client who has recently begun taking warfarin. The nurse should instruct the client to limit consumption of which of the following foods?

Kale

White beans

Cantaloupe

Whole grain bread

Answer and Explanation

The Correct Answer is A

A. Kale: Kale is high in vitamin K, which can counteract the effects of warfarin and reduce its effectiveness. Clients on warfarin are typically advised to limit or maintain a consistent intake of foods high in vitamin K.

B. White beans: White beans are not high in vitamin K and do not need to be limited in a client taking warfarin.

C. Cantaloupe: Cantaloupe is not high in vitamin K and is safe to consume while on warfarin.

D. Whole grain bread: Whole grain bread is not a significant source of vitamin K and does not interfere with warfarin.

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Correct Answer is D

Explanation

A. Asthma: Asthma is characterized by wheezing and difficulty breathing but is not typically associated with edema or tachycardia unless there is respiratory failure or severe distress.

B. Aortic valve regurgitation: Aortic valve regurgitation can cause symptoms such as fatigue and dyspnea, but tachycardia and edema are more consistent with heart failure.

C. Aortic stenosis: Aortic stenosis can cause fatigue and dyspnea, but the presence of edema and tachycardia suggests heart failure rather than isolated valve stenosis.

D. Heart failure: Heart failure is characterized by dyspnea, fatigue, tachycardia, and edema. The heart’s inability to pump effectively leads to fluid buildup and symptoms of congestion.

A. Bounding B. Slow C. Irregular D. Not palpable

Correct Answer is C

Explanation

A. Bounding: A bounding pulse indicates strong and forceful heartbeats, which is not typically associated with atrial fibrillation.

B. Slow: Atrial fibrillation is usually associated with an irregular and often rapid heart rate, not a slow heart rate.

C. Irregular: Atrial fibrillation is characterized by an irregularly irregular pulse due to the uncoordinated electrical activity in the atria, leading to an inconsistent pulse rate.

D. Not palpable: A pulse would not be expected to be "not palpable" in atrial fibrillation unless there is a severe circulatory issue, which is not the typical presentation.

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Test:	Results:	Reference ranges:
White Blood Cell Count (WBC)	7000/µL	4,000-11,000/µL
Hemoglobin (Hb)	10.2 g/dl	12.0-15.5 g/dL
Hematocrit (Hct)	32%	37-47%
Platelets	250,000/µL	150,000-450,000/µL

Test	Result	Reference range
Sodium (Na):	132	135-145 mmol/L
Potassium (K):	5.8	3.5-5.0 mmol/L
Chloride (Cl):	97	98-106 mmol/L
Creatinine:	1.5	0.6-1.2 mg/dL
Blood Urea Nitrogen (BUN):	40	7-20 mg/dL

A nurse in a clinic is reviewing teaching about food choices with a client who has recently begun taking warfarin. The nurse should instruct the client to limit consumption of which of the following foods?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a provider's office is collecting data from a client who reports dyspnea and fatigue. The nurse determines that the client also has tachycardia and edema. Which of the following disorders should the nurse suspect?

Correct Answer is D

Explanation

A nurse is collecting data from a client who has atrial fibrillation. When documenting the quality of the client's pulse, which of the following terms should the nurse use?

Correct Answer is C

Explanation

A nurse is reinforcing discharge teaching for a client who will be taking warfarin (Coumadin) at home. Which of the following statements indicates that the client understands the risks while taking this medication?

A nurse is reinforcing teaching with a newly licensed nurse about reading a client's ECG tracing. The nurse should include in the teaching that the P wave represents which of the following cardiac electrical activities?

A nurse is collecting data from a client who has left-sided heart failure. Which of the following findings should the nurse expect?

A nurse caring for a client who has a new prescription for atenolol, a Beta Blocker. For which of the following adverse effects should the nurse monitor the client?

A nurse is reinforcing teaching with an older adult client who has had a newly inserted permanent pacemaker. Which of the following manifestations should the nurse include in the teaching as a pacemaker malfunction that the client should report to the provider?

A nurse is reinforcing teaching about warfarin with a client who has a new onset of atrial fibrillation. Which of the following statements should the nurse include in the teaching?