A nurse is reinforcing teaching with a client who is to start subcutaneous heparin.
Which of the following information should the nurse include in the teaching?
Use a soft-bristled toothbrush.
Inject the medication deep into the thigh muscle.
Expect stools to become black and tarry.
Easy bruising indicates the medication is effective.
The Correct Answer is A
The nurse should include in the teaching that the client should use a soft-bristled toothbrush.
Heparin is an anticoagulant that decreases the clotting ability of the blood 1.
Using a soft-bristled toothbrush can help prevent bleeding of the gums while brushing teeth.
Choice B is incorrect because heparin should not be injected deep into the thigh muscle.
Instead, it should be given subcutaneously (under the skin) 2.
Choice C is incorrect because black and tarry stools are not an expected side effect of heparin.
Choice D is incorrect because easy bruising does not indicate that the medication is effective.
Instead, easy bruising may be a side effect of heparin and should be reported to the healthcare provider 1.
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Related Questions
Correct Answer is B
Explanation
The nurse should administer 2 tablets of levothyroxine 50 mcg to give the client a total dose of 100 mcg.
Choice A is not the best answer because administering 1 tablet of levothyroxine 50 mcg would only give the client a total dose of 50 mcg, which is not enough.
Choice C is not the best answer because administering 3 tablets of levothyroxine 50 mcg would give the client a total dose of 150 mcg, which is too much.
Choice D is not the best answer because administering 4 tablets of levothyroxine 50 mcg would give the client a total dose of 200 mcg, which is too much.
Correct Answer is A
Explanation
The nurse should instruct the patient to avoid taking verapamil with grapefruit.
Studies have demonstrated an interaction between verapamil and grapefruit juice, which is likely due to an inhibition of intestinal metabolism resulting in increased oral bioavailability1.
This means that grapefruit can interfere with the enzymes that break down verapamil in your digestive system, potentially leading to dangerous health problems2.
Choices B, C, and D are incorrect because there is no known interaction between verapamil and spinach, broccoli, or carrots.
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