A nurse is preparing discharge teaching for a client who will be going home on warfarin. Which of these client statements indicates the need for further instruction?

"I should avoid alcohol and herbal remedies while I am taking warfarin."

"If I notice signs of bleeding I will stop taking warfarin and follow up with my doctor in a week."

"I should be consistent with my intake of leafy greens while I am taking warfarin."

"I should have my international normalized ratio (INR) checked regularly while I am on warfarin."

Answer and Explanation

The Correct Answer is B

a) Avoiding alcohol and herbal remedies is a correct instruction because they can interact with warfarin and increase the risk of bleeding.

b) Stopping warfarin abruptly without healthcare provider guidance can be dangerous and increase the risk of thrombosis. Signs of bleeding should be reported promptly to the healthcare provider for appropriate management.

c) Being consistent with the intake of leafy greens is important to maintain a stable INR, as these foods contain vitamin K, which can interfere with warfarin.

d) Regular INR monitoring is essential to ensure that the client is within the therapeutic range and to make adjustments to the warfarin dosage if necessary.

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Correct Answer is ["97.0"]

Explanation

- To answer the question, we need to convert pounds (lb) to kilograms (kg) using the formula: 1 lb = 0.453592 kg

- Multiply the client's weight in lb by 0.453592 to get the weight in kg: 214 lb x 0.453592 kg/lb = 97.049648 kg

- Round the answer to the nearest tenth, or one decimal place: 97.049648 kg ≈ 97.0 kg - The final answer is: The client's weight in kg is 97.0 kg

A. "Take it with an antacid." B. Take 30 to 60 minutes before meals. C. "Take it whenever indigestion occurs." D. "Take it immediately after meals."

Correct Answer is B

Explanation

a) Taking sucralfate with an antacid is not recommended, as antacids can interfere with the effectiveness of sucralfate.

b) Sucralfate should be taken 30 to 60 minutes before meals to ensure optimal binding to the gastric mucosa and to form a protective barrier.

c) Taking sucralfate whenever indigestion occurs may not provide consistent protection, as its effectiveness is enhanced when taken before meals.

d) Taking sucralfate immediately after meals is not recommended, as it may interfere with its ability to form a protective coating on the gastric mucosa.

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A nurse is preparing discharge teaching for a client who will be going home on warfarin. Which of these client statements indicates the need for further instruction?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client weighs 214 lb. What is the clients weight in kg? (Record answer to the nearest tenth, or one decimal place. Do not use a trailing zero.)

Correct Answer is ["97.0"]

Explanation

A nurse is talking with a client who has peptic ulcer disease and starting therapy with sucralfate. What must the nurse include in the client education?

Correct Answer is B

Explanation

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