A nurse is assisting in the education of a group of clients about the contraindications of warfarin therapy. Which of the following statements is appropriate to include in the instructions?

"Clients who have rheumatoid arthritis should not take warfarin."

"Clients who have diabetes mellitus type 1 should not take warfarin"

"Clients who have hypertension should not take warfarin"

"Clients who are pregnant should not take warfarin"

Answer and Explanation

The Correct Answer is D

A) "Clients who have rheumatoid arthritis should not take warfarin":
Rheumatoid arthritis itself is not a contraindication for warfarin therapy. However, close monitoring is required due to potential interactions with medications used to treat rheumatoid arthritis and the increased risk of bleeding associated with both conditions.

B) "Clients who have diabetes mellitus type 1 should not take warfarin":
Type 1 diabetes mellitus is not a contraindication for warfarin therapy. However, diabetes increases the risk of complications such as peripheral vascular disease, which may necessitate careful monitoring of INR levels and adjustments to warfarin dosage.

C) "Clients who have hypertension should not take warfarin":
Hypertension alone is not a contraindication for warfarin therapy. However, hypertension is a risk factor for cardiovascular diseases that may require anticoagulation therapy. Close monitoring of blood pressure and potential interactions with antihypertensive medications is essential.

D) "Clients who are pregnant should not take warfarin":
Pregnancy is a contraindication for warfarin therapy due to its teratogenic effects, which can cause fetal harm or birth defects. Pregnant clients requiring anticoagulation therapy may be prescribed alternative medications that are safer during pregnancy, under the guidance of a healthcare provider.

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Correct Answer is D

Explanation

A) Notify the nurse manager:
While it's important to communicate the error to the nurse manager and appropriate supervisors, the immediate priority is to address the client's current condition and ensure their safety.

B) Complete an incident report:
Filling out an incident report is necessary to document the error and ensure proper follow-up and investigation. However, the client's immediate well-being takes precedence.

C) Give the client 15 to 20 g of carbohydrate:
Administering carbohydrates may be necessary if the client is hypoglycemic, but checking the blood glucose level first is essential to confirm the current status and determine the appropriate intervention.

D) Check the client's blood glucose level:
This is the priority action because it allows the nurse to assess the client's current blood glucose level and determine if corrective action, such as administering carbohydrates or further insulin adjustments, is needed to address any potential hypoglycemia resulting from the incorrect insulin dose.

Correct Answer is ["1"]

Explanation

To determine how many hydrochlorothiazide tablets to administer per dose, we can perform a simple calculation:

Identify the prescribed dose: The nurse needs to administer 25 mg of hydrochlorothiazide per dose.

Identify the tablet strength: Each available tablet contains 50 mg of hydrochlorothiazide.

Calculate the number of tablets: We need to find out how many 50 mg tablets are needed to deliver the prescribed 25 mg dose.

Here, dividing the prescribed dose by the tablet strength will tell us how many tablets are required:

Number of tablets = Prescribed dose / Tablet strength

Number of tablets = 25 mg / 50 mg/tablet

Since the division results in 0.5, we need to round to the nearest whole number for medication administration.

Therefore, the nurse should administer 1 tablet of hydrochlorothiazide per dose.

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A nurse is assisting in the education of a group of clients about the contraindications of warfarin therapy. Which of the following statements is appropriate to include in the instructions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

Correct Answer is ["1"]

Explanation

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