A nurse is teaching a client who has a prescription for warfarin. Which of the following statements by the client indicates an understanding of the teaching?
"I should not take a St. John's wort supplement."
"I should use a hard bristle toothbrush."
"I should get my INR checked once a year."
"I should not eat cantaloupe while taking the medication."
The Correct Answer is A
A. St. John's wort can decrease the effectiveness of warfarin, so it should be avoided.
B. Using a hard bristle toothbrush could cause gum bleeding in clients taking warfarin and should be avoided.
C. INR should be checked regularly, not just once a year, to monitor the therapeutic range for warfarin.
D. There is no known interaction between cantaloupe and warfarin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
A. Alopecia is not a common adverse effect of atorvastatin.
B. Elevated liver enzymes can occur with atorvastatin use and should be monitored.
C. Dry cough is not associated with atorvastatin, but it is a known side effect of ACE inhibitors.
D. Jaundice can indicate liver dysfunction, a potential side effect of atorvastatin, and should be reported.
E. Muscle weakness can be a sign of rhabdomyolysis, a serious adverse effect of atorvastatin.
Correct Answer is D
Explanation
A. Dairy products do not interact with atorvastatin and can be consumed.
B. Leafy vegetables do not interfere with the action of atorvastatin.
C. Bananas do not have a known interaction with atorvastatin.
D. Grapefruit juice can increase the blood levels of atorvastatin, leading to an increased risk of side effects, particularly muscle damage.
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