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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale- Sucralfate is used for coating the lining of gastric ulcers to prevent exposure to acid allowing for healing. It binds to protein containing exudate to form a paste-like substance that coats the ulcers.
B-Sucralfate has no effect of quality of vision
C-Sucralfate has no role in prophylaxis in infections
D-Sucralfate relieves pain in H. Pylori induced gastric ulcers but no effect of infection control
Correct Answer is C
Explanation
Zidovudine (AZT) is an antiretroviral drug used in treatment of HIV to suppress viral replication. It causes aplastic anemia, suppression of the bone marrow, leasing to reduces production of all hematopoietic cell lines including red blood cells, white blood cells, and platelets.
A, B, and D - are not associated with Zidovudine use
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