Exhibits
The provider would like the client to continue with the captopril dose and restart the spironolactone. The provider wants the client to return to the clinic in 6 weeks with lab work done.
What 2 labs would be most appropriate for this client to complete on their return visit?
Coagulation panels
Cardiac enzymes
Urine osmolality
Kidney function test
Electrolyte panel
Complete blood count
Correct Answer : D,E
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. A scratchy throat may indicate mild irritation but is not an immediate reason to stop the infusion unless it progresses.
B. Pupillary constriction is not typically associated with an acute reaction to piperacillin-tazobactam.
C. A sudden increase in blood pressure (hypertension) during the infusion may indicate a serious adverse reaction and is a valid reason to stop the infusion immediately and notify the provider.
D. Bradycardia is not commonly associated with piperacillin-tazobactam infusion reactions and would not automatically warrant stopping the infusion.
Correct Answer is B
Explanation
Choice A rationale: this is not an appropriate response because while it may reduce the intake of vitamin K, suddenly changing the client's diet drastically may not be necessary. It is essential for the healthcare provider to make any necessary adjustments to the medication based on the client's diet.
Choice B rationale: Warfarin is an anticoagulant medication that works by inhibiting the formation of blood clots. It interacts with vitamin K, which plays a crucial role in the blood clotting process. Leafy green vegetables are rich in vitamin K, and their consumption can affect the effectiveness of warfarin. The nurse should advise the client to inform her healthcare provider about her vegetarian diet and the regular consumption of leafy green vegetables. The healthcare provider will then be able to adjust the warfarin dosage accordingly to ensure that the client receives the appropriate and consistent level of anticoagulation.
Choice C rationale: while a vegetarian diet can be healthy, the specific concern here is the potential impact of vitamin K-rich foods on warfarin therapy. It's essential to address this potential interaction rather than focusing solely on the overall healthy lifestyle.
Choice D rationale: Consuming large amounts of leafy green vegetables and vitamin K-rich foods may actually reduce the effectiveness of warfarin, leading to a decreased ability to prevent blood clots. Therefore, it is crucial to consult with the healthcare provider to manage the dosage appropriately.
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