After a successful cardioversion, a male client with a new onset of atrial fibrillation receives a prescription for an anticoagulant. What instruction should the practical nurse (PN) reinforce with the client?

Take the medication before meals.

Use electric razor when shaving.

Eat green leafy vegetables high in vitamin K.

If a dose is missed, double the next dose.

Answer and Explanation

The Correct Answer is B

Choice A: Taking the medication before meals is not a specific instruction for anticoagulant therapy. The timing of anticoagulant administration can vary depending on the specific medication and dosing regimen.

Choice B: Using an electric razor when shaving is an important instruction for clients on anticoagulant therapy. Anticoagulants can increase the risk of bleeding, and using a manual razor could lead to cuts or nicks that may be harder to control.

Choice C: Eating green leafy vegetables high in vitamin K is a relevant instruction for clients taking warfarin, an anticoagulant. However, it should be emphasized that consistent intake of vitamin K-rich foods is important to maintain consistent anticoagulation levels, rather than avoiding these foods altogether.

Choice D: Instructing the client to double the next dose if a dose is missed is not appropriate for anticoagulant therapy. Missing a dose should be addressed according to the healthcare provider's guidance and may involve taking the missed dose as soon as remembered or skipping it and continuing with the regular dosing schedule.

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Correct Answer is C

Explanation

Choice A: Socioeconomics can influence a person's ability to access and afford certain foods, but the statement does not directly address the nutritional guidelines for older adults.

Choice B: Nutritional meal planning for seniors should ideally involve input from a dietitian or healthcare provider, but the statement does not directly reflect an understanding of the nutritional guidelines.

Choice C: Dietary needs for seniors over and under age 70 can differ due to factors such as changes in metabolism, physical activity levels, and overall health. The statement recognizes the importance of tailoring the meal plan to meet the specific nutritional needs of both spouses based on their respective ages.

Choice D: Age is a factor in determining dietary needs for seniors, as nutritional requirements may change as individuals age. The statement acknowledges that age plays a role in meal planning for older adults.

A. Check mental acuity. B. Measure urinary output. C. Inspect for sacral edema. D. Auscultate all lung fields.

Correct Answer is D

Explanation

Choice A: Checking mental acuity is important for assessing the client's cognitive function, but it may not be the most crucial intervention in the context of left- sided heart failure.

Choice B: Measuring urinary output is a valuable assessment in clients with heart failure, but it is not the most important intervention among the choices provided.

Choice C: Inspecting for sacral edema is a relevant assessment for clients with heart failure, especially when assessing for fluid retention. However, it may not be the highest priority in this case.

Choice D: Auscultating all lung fields is the most important intervention for a client with left-sided heart failure. Left-sided heart failure often results in pulmonary congestion, and auscultating the lung fields can provide critical information about the presence of crackles, wheezes, or other abnormal breath sounds, indicating worsening heart failure.

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After a successful cardioversion, a male client with a new onset of atrial fibrillation receives a prescription for an anticoagulant. What instruction should the practical nurse (PN) reinforce with the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is helping develop a meal plan based on nutritional guidelines for a 73-year-old client being discharge to home with the client's 65- year-old spouse. Which statement best indicates an understanding of the nutritional guidelines when planning meals by the two spouses?

Correct Answer is C

Explanation

The practical nurse (PN) is assessing an older client with left-sided heart failure (HF). What intervention is most important for the PN to implement?

Correct Answer is D

Explanation

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