A nurse is reinforcing teaching with a client who is postpartum and receiving warfarin for deep- vein thrombosis. Which of the following instructions should the nurse include?
"Use a disposable razor for shaving while taking this medication."
"You should not take oral contraceptives while taking this medication."
"Take 650 milligrams of aspirin for leg discomfort."
"You will be able to stop taking this medication in 2 weeks."
The Correct Answer is B
A. Incorrect. While using a disposable razor is a precaution for individuals taking anticoagulants to reduce the risk of bleeding, it is not specific to warfarin.
B. Correct. Taking oral contraceptives along with warfarin can increase the risk of bleeding.
Therefore, the client should be advised not to take oral contraceptives while on warfarin.
C. Incorrect. Aspirin is not typically recommended for pain relief in individuals taking warfarin due to the increased risk of bleeding.
D. Incorrect. The duration of warfarin therapy is individualized based on the specific condition being treated. It is not a fixed 2-week period.
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Correct Answer is C
Explanation
A. TENS provides pain relief but does not eliminate pain completely during contractions.
B. TENS is not contraindicated for clients with gestational diabetes unless there are specific medical concerns related to its use.
C. TENS intensity should be increased during contractions to provide additional pain relief.
D. TENS can be useful throughout labor, not just during the third stage.
Correct Answer is B
Explanation
A. Applying petroleum jelly to the suppository is not necessary and may interfere with its effectiveness.
B. The suppository should be inserted along the posterior vaginal wall to ensure proper placement.
C. Inserting the suppository 5 cm (2 in) is not necessary and may result in incorrect placement.
D. There is no need for the client to be in a prone position for this procedure.
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