A nurse is providing discharge teaching to a client who has a new prescription for warfarin. Which of the following statements by the client indicates an understanding of the teaching?

"I will use an electric razor when shaving."

"I will eat more green leafy vegetables to prevent bleeding."

"I will take an extra dose if I miss one."

"I will check my blood pressure every day."

Answer and Explanation

The Correct Answer is A

A) Correct. The client should use an electric razor when shaving to reduce the risk of bleeding from minor cuts or nicks. Warfarin is an anticoagulant that inhibits blood clotting and increases the bleeding time.

B) Incorrect. The client should not eat more green leafy vegetables to prevent bleeding. Green leafy vegetables are high in vitamin K, which antagonizes the effect of warfarin and reduces its anticoagulant activity.

C) Incorrect. The client should not take an extra dose if they miss one. Taking an extra dose can cause excessive anticoagulation and increase the risk of bleeding or hemorrhage.

D) Incorrect. The client should not check their blood pressure every day unless instructed by their health care provider. Checking blood pressure every day is not related to warfarin therapy and may cause unnecessary anxiety or confusion.

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Correct Answer is ["A","B","C","D"]

Explanation

A) Correct. The nurse should include reducing sodium intake to less than 2 g per day in the teaching. Sodium can increase fluid retention and blood volume, which can raise blood pressure.

B) Correct. The nurse should include increasing physical activity to at least 30 minutes per day in the teaching. Physical activity can lower blood pressure by strengthening the heart, improving blood circulation, and reducing body weight.

C) Correct. Limiting alcohol consumption to no more than two drinks per day for men and one drink per day for women. Excessive alcohol consumption can raise blood pressure, so moderation is important.

D) Correct. Quitting smoking and avoiding exposure to secondhand smoke. Smoking and exposure to secondhand smoke are significant risk factors for hypertension and other cardiovascular diseases.

E) Incorrect. Taking a nap for 20 minutes every afternoon. While rest and relaxation are important for overall well-being, taking a nap specifically for 20 minutes every afternoon may not be directly related to lowering blood pressure. It's better to focus on the other lifestyle modifications mentioned above.

A. "Medication reconciliation is a process that helps prevent medication errors." B. "Medication reconciliation involves comparing your current medications with your previous ones." C. "Medication reconciliation should be done at every transition of care." D. "Medication reconciliation requires you to keep an updated list of all your medications." E. "Medication reconciliation allows you to adjust your medication doses as needed."

Correct Answer is ["A","B","C","D"]

Explanation

A) Correct. Medication reconciliation is a process that helps prevent medication errors by ensuring that the client receives the correct medications at the correct doses and times.

B) Correct. Medication reconciliation involves comparing the client's current medications with their previous ones to identify any discrepancies or changes.

C) Correct. Medication reconciliation should be done at every transition of care, such as admission, transfer, or discharge, to ensure continuity and safety of medication therapy.

D) Correct. Medication reconciliation requires the client to keep an updated list of all their medications, including prescription, over-the-counter, herbal, and dietary supplements, and to share it with their health care providers.

E) Incorrect. Medication reconciliation does not allow the client to adjust their medication doses as needed. The client should always follow the prescribed instructions and consult their health care provider before making any changes.

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A nurse is providing discharge teaching to a client who has a new prescription for warfarin. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning to teach a client who has hypertension about lifestyle modifications to lower their blood pressure. Which of the following topics should the nurse include in the teaching? (Select all that apply.)

Correct Answer is ["A","B","C","D"]

Explanation

A nurse is preparing to teach a client about medication reconciliation. Which of the following statements should the nurse include in the teaching? (Select all that apply.)

Correct Answer is ["A","B","C","D"]

Explanation

A nurse is providing discharge teaching to a client who has a new prescription for warfarin. Which of the following statements by the client indicates an understanding of the teaching?

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