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 C
Explanation
Miosis, or constriction of the pupil, is a common side effect of opioid analgesics like nalbuphine.
A. Oliguria, or decreased urine output, is not a common adverse effect of opioids
B. Constipation is a more common gastrointestinal side effect of opioid analgesics.
D. Nalbuphine is an opioid analgesic that helps relieve pain including joint pain. Joint pain is not as adverse effect of nalbuphine
Correct Answer is A
Explanation
Taking colchicine with food can help minimize the gastrointestinal side effects of the medication. Therefore, advising the client to take the medication with food if nausea develops is appropriate.
B. Increasing intake of grapefruit is not recommended with colchicine. Grapefruit can interact with certain medications, including colchicine, and may increase the risk of side effects.
C. Monitoring for muscle pain is not typically associated with colchicine use. Muscle pain is not a common side effect of colchicine.
D. Increased bruising is not typically associated with colchicine use. Bruising is not a common side effect of colchicine.
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