An older adult patient has been prescribed warfarin (coumadin). The nurses primary intervention involves daily review of the patient's:

reflex tone

body for bruising

serum creatinine level

prothrombin time

Answer and Explanation

The Correct Answer is D

A.   Reflex tone refers to the neurological response of the body to stimuli and is not directly related to the action or monitoring of anticoagulant therapy. While assessing reflexes might be important for overall patient health, it is not specifically relevant to monitoring the effects of warfarin. Reflex tone does not provide information on the anticoagulation status or risk of bleeding associated with warfarin therapy.
B.   Checking the body for bruising helps assess the safety of warfarin therapy and may indicate the need for dosage adjustments or further investigation if bruising is excessive. However, while monitoring for bruising is essential, it is not the primary method for assessing the effectiveness and safety of anticoagulant therapy.
C.   While monitoring kidney function is relevant for overall medication management, it is not the primary focus for directly assessing the effectiveness or safety of warfarin therapy. Kidney function is more related to adjusting doses and avoiding potential complications.
D.   Regularly reviewing PT is crucial for managing warfarin therapy because it directly reflects the anticoagulation effect of the medication. The International Normalized Ratio (INR), derived from PT, is used to ensure the patient is within the therapeutic range for effective anticoagulation while minimizing the risk of bleeding.

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Correct Answer is B

Explanation

A. This question focuses on future preparedness and may come off as presumptive or confrontational. It doesn't directly address the patient's personal feelings or experiences but rather implies an expectation about how they and their spouse will handle the situation over time. This might not encourage an open discussion about the patient's personal perception of their sexuality.
B. This question directly addresses how the sexual dysfunction affects the patient’s intimate relationship, which can provide insight into the patient's personal perception and emotional response to the problem. It allows the patient to discuss how their condition affects their intimate life and personal feelings, promoting a deeper understanding of their experience.
C. This question focuses on coping mechanisms and may shift the focus away from the patient's personal feelings to how both partners are managing the situation. While it can provide useful
information about coping strategies, it may not fully explore the patient’s individual perceptions and
emotional impact.

D. This question explores relational issues caused by the sexual dysfunction. It might elicit information about interpersonal conflicts or challenges but might not fully capture the patient’s personal feelings about their sexuality or how the dysfunction specifically impacts their self-perception and intimate experiences.

A. observing the patient eat a meal that he or she has prepared B. reviewing the components of a healthy diet with the patient C. asking to see what types of foods the patient keeps readily available D. asking the patient to describe what he or she ate for all three meals yesterday

Correct Answer is A

Explanation

A. Observing the patient eat a meal that he or she has prepared provides the nurse with direct, objective information about the patient's nutritional intake. This can help the nurse assess the patient's food choices, portion sizes, and overall dietary habits.
B. While this can be helpful in educating the patient about nutrition, it does not provide direct information about the patient's actual dietary habits.
C. This can provide some insight into the patient's dietary habits, but it may not be a complete picture, as the patient may not eat everything they have on hand.
D. This can provide some information about the patient's dietary intake, but it may be difficult for the patient to recall everything they ate, especially if their memory is impaired.

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An older adult patient has been prescribed warfarin (coumadin). The nurses primary intervention involves daily review of the patient's:

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Naxlex Comprehensive Predictor Exams

An older adult patient has recently experienced some difficulty sustaining an erection as a result of medication he has been prescribed. The nurse best assesses the patients perception of his own sexuality by asking

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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