A nurse is educating a group of clients about the contraindications of warfarin therapy. Which of the following statements should the nurse include in the teaching?
"Clients who have glaucoma should not take warfarin."
"Clients who have rheumatoid arthritis should not take warfarin."
"Clients who are pregnant should not take warfarin."
"Clients who have hyperthyroidism should not take warfarin."
The Correct Answer is C
Warfarin is a coumarin anticoagulant that has potential to increase the risk of bleeding. When taken during pregnancy, warfarin causes fetal bleeding. Warfarin is also teratogenic and it causes various birth defects including skeletal abnormalities, hypoplastic nose, intellectual disabilities and deafness hence it's contraindicated. Pregnant women who require anticoagulation are put of heparin in the place of warfarin to prevent these complications.
A. B, D - are not contraindications for warfarin use.
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Related Questions
Correct Answer is B
Explanation
Allopurinol is a uric lowering agent that reduces the conversion on hypoxanthine to uric acid lowering its levels in blood. This prevents formation of uric acid crystals which are deposited in joints and tissues in gouty arthritis.
A. Spironolactone is a potassium sparing diuretic used in management of ascites, hypertension and heart failure
C. Zolpidem is a sedative-hypnotic agent used in management of sleep wake disorders
D. Alprazolam is a benzodiazepine used in management of anxiety disorders
Correct Answer is A
Explanation
Acute shortness of breath in a client with a central venous catheter could be secondary to various respiratory complications such as pulmonary embolism and pneumothorax. Taking the appropriate action requires a quick assessment through auscultation as the emergency management of the various complications is different.
A. This is the immediate action to prevent more air from entering the venous system.
B. The left lateral trendelenburg position is relevant in hypotension but not a priority action.
C.uscultating breath sounds is an important assessment, especially if the cause of the shortness of breath is unclear. It can help identify wheezing, crackles, or absence of breath sounds, which may suggest conditions like pneumothorax, pulmonary embolism, or infection. However, while auscultation is an important diagnostic step, it is typically done after initial interventions (such as positioning or administering oxygen) to stabilize the client.
D. Initiating oxygen therapy is important in cases of respiratory distress but assessment is priority in this case
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