A nurse is providing discharge teaching to a client who has a pulmonary embolism and has begun anticoagulant therapy. Which of the following recommendations should the nurse make?
(Select All that Apply.)
Avoid acetaminophen.
Use a soft toothbrush.
Stop anticoagulant medication when your symptoms subside.
Avoid high-impact activities.
Wear a medical alert bracelet.
Correct Answer : B,D,E
A. Avoid acetaminophen.
Acetaminophen is safe to use; NSAIDs should be avoided due to bleeding risk.
B. Use a soft toothbrush.
Prevents gum bleeding and injury.
C. Stop anticoagulant therapy when symptoms subside.
Dangerous. Anticoagulation must be continued as prescribed to prevent recurrence.
D. Avoid high-impact activities.
Helps reduce the risk of trauma and bleeding.
E. Wear a medical alert bracelet.
Informs healthcare providers in emergencies that the client is on anticoagulants.
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Related Questions
Correct Answer is D
Explanation
A. Preventing musculoskeletal disability
Important, but not priority in life-threatening trauma.
B. Stabilizing cardiac arrhythmias
Secondary-ABCs take precedence.
C. Decreasing intracranial pressure
Important in head injury but only after airway is secure.
D. Airway protection
Airway is the priority in trauma (per ABCs: Airway, Breathing, Circulation).
Correct Answer is C
Explanation
A. Allow the client time alone to self-reflect.
Leaving a suicidal client alone poses a risk of self-harm. Continuous monitoring is required.
B. Encourage the client to focus on the positive aspects of life.
While positivity is helpful later, this response minimizes the client’s suicidal ideation and fails to assess immediate risk.
C. Ask the client about the lethality of their plan.
This is essential for determining the level of suicide risk. Asking directly about suicidal intent, plan, and means is critical.
D. Reassure the client that everything is going to work out.
This is false reassurance, which can shut down communication and invalidate the client's distress.
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