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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. A minimally furnished room may be beneficial for safety, but it is not the primary consideration for room assignment.
B. A room with multiple roommates may increase stimulation, which can worsen manic symptoms.
C. A quiet room away from the nurse's station helps reduce environmental stimuli, which can help manage the client's elated state.
D. A bright-colored room near the recreation area may increase sensory stimulation, potentially worsening manic symptoms.
Correct Answer is C
Explanation
Choice A: Impaired cognition is not a common manifestation of Cushing's syndrome. Cushing's syndrome is primarily characterized by hormonal imbalances and physical symptoms.
Choice B: Memory loss is not a common manifestation of Cushing's syndrome. The syndrome is more associated with hormonal and metabolic disturbances.
Choice C: Mood alterations, including irritability, anger, and emotional instability, are common manifestations of Cushing's syndrome. These mood changes can be attributed to the hormonal imbalances and physiological stress associated with the condition.
Choice D: Hearing loss is not a recognized symptom of Cushing's syndrome. Mood alterations and physical changes are more typical.
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