A nurse is caring for a client who is prescribed warfarin. Which of the following actions should the nurse take?

Increase the client's dietary intake of vitamin K.

Teach the client that St. John's wort increases the effects of the medication.

Administer protamine sulfate if the client experiences an overdose.

Monitor the client's prothrombin time

Answer and Explanation

The Correct Answer is D

A. Increasing dietary intake of vitamin K would decrease the effectiveness of warfarin, as vitamin K is involved in clotting factor synthesis.

B. St. John's wort decreases the effects of warfarin, so it should be avoided.

C. Protamine sulfate is the antidote for heparin, not warfarin. The antidote for warfarin overdose is vitamin K.

D. Monitoring prothrombin time (PT) and INR is essential to assess the effectiveness and safety of warfarin therapy.

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Correct Answer is C

Explanation

A. Output above 30 mL/hr is acceptable and not concerning.

B. A BP of 122/88 is within normal limits.

C. A decrease in deep tendon reflexes (DTRs), such as 1+, can indicate magnesium toxicity and requires immediate intervention.

D. Normal pupillary findings do not indicate toxicity.

A. Bradycardia B. Hypothermia C. Hypokalemia D. Dizziness

Correct Answer is D

Explanation

A. Bradycardia is not a common side effect of buspirone.

B. Hypothermia is unrelated to buspirone use.

C. Hypokalemia is not associated with this medication.

D. Dizziness is one of the most commonly reported adverse effects of buspirone, especially early in therapy.

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A nurse is caring for a client who is prescribed warfarin. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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