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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Free Nursing Study Resources

Correct Answer is C

Explanation

A. Orthopnea: Orthopnea is more commonly associated with left-sided heart failure.

B. Dyspnea: Dyspnea is more indicative of left-sided heart failure, where fluid backs up into the lungs, causing difficulty breathing.

C. Peripheral edema: Peripheral edema is a classic symptom of right-sided heart failure due to the backup of blood in the systemic circulation, leading to fluid retention in the lower extremities.

D. Frothy sputum: Frothy sputum is typically associated with left-sided heart failure due to pulmonary congestion and edema.

A. Obtain an x-ray of the right hip. B. Administer iron supplement C. Administer spironolactone D. Administer supplemental oxygen PRN E. Administer an IV fluid bolus.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"C"},"D":{"answers":"B"},"E":{"answers":"A"}}

Explanation

. Obtain an x-ray of the right hip:

Anticipated: After a fall, especially in an elderly client with a history of dizziness, it's important to rule out a hip fracture, a common and serious injury in this population.

2. Administer iron supplement

Anticipated: Maintaining adequate iron supplementation is important to address the client's chronic iron-deficiency anemia. This helps to support red blood cell production.

3. Administer spironolactone

Contraindicated: Administering spironolactone is contraindicated because the client’s potassium level is elevated at 5.8 mmol/L, indicating hyperkalemia. Spironolactone, a potassium-sparing diuretic, could further exacerbate this condition.

4. Administer supplemental oxygen PRN

Nonessential: Administering supplemental oxygen is nonessential at this time because the client’s oxygen saturation is 94% on room air, which is within the normal range.

5. Administer an IV fluid bolus

Anticipated: Administering an IV fluid bolus is anticipated due to the client’s signs of dehydration (e.g., tenting skin, dry skin, low blood pressure) and recent history of nausea and diarrhea.

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

Correct Answer is C

Explanation

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"C"},"D":{"answers":"B"},"E":{"answers":"A"}}

Explanation

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