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 D
Explanation
Taking ferrous sulfate between meals enhances its absorption as some food substances can interfere with iron absorption. Therefore, it is generally recommended to take ferrous sulfate on an empty stomach, typically 1 hour before meals or 2 hours after meals. However, if gastrointestinal upset occurs when taking ferrous sulfate on an empty stomach, it can be taken with a small amount of food to minimize discomfort.
A. Antacids containing aluminum, calcium, or magnesium can bind with iron and reduce its absorption.
B. Dairy products, including yogurt, can also inhibit iron absorption due to the presence of calcium.
C. Taking it at bedtime increases the likelihood of gastrointestinal discomfort reducing its effectiveness due to interference from food.
Correct Answer is A
Explanation
Butorphanol is a synthetic opioid which can cause respiratory depression. Antidote for opioid is naloxone
B-Diphenhydramine is used to manage allergic reactions C-Protamine is an antidote for heparin
D-Atropine is an anticholinergic agent used in organophosphate poisoning
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