The nurse is preparing discharge instructions for a patient taking warfarin (Coumadin). Which would the nurse correctly include in the discharge instructions? (Select all that apply.)

Eat 3-5 large salads per week for roughage.

Carry an emergency ID identifying that you take warfarin (Coumadin).

Avoid hazardous activities such as football and hockey.

Follow-up with healthcare provider and obtain lab work regularly.

You may drink no more than 1-2 alcoholic beverages per day with this drug.

Answer and Explanation

Correct Answer : B,C,D

A. Leafy greens can affect warfarin effectiveness, so clients should be advised on consistent intake rather than large quantities.
B. Carrying an emergency ID is important for identification in case of an accident.
C. Hazardous activities should be avoided to reduce the risk of bleeding.
D. Regular follow-up and lab work are essential for monitoring INR levels and adjusting dosages.
E. Alcohol can interact with warfarin, so the intake should be limited and discussed with a healthcare provider.

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Correct Answer is A

Explanation

A. Grapefruit can interact with verapamil, potentially increasing the drug's concentration and leading to adverse effects.
B. Apples do not have a significant interaction with verapamil.
C. Bananas are not known to interact with verapamil.
D. Oranges do not typically interact with verapamil.

A. Deep Vein Thrombosis (DVT) B. Bleeding disorder C. Heart Rate of 60 D. Pulmonary Embolism (PE)

Correct Answer is B

Explanation

A. Enoxaparin is often used to treat or prevent DVT, so this would not prevent administration.
B. A bleeding disorder is a contraindication for enoxaparin due to the increased risk of hemorrhage.
C. A heart rate of 60 is within normal limits and does not contraindicate enoxaparin use.
D. Enoxaparin is used to treat and prevent PE, so this condition would not prevent its administration.

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The nurse is preparing discharge instructions for a patient taking warfarin (Coumadin). Which would the nurse correctly include in the discharge instructions? (Select all that apply.)

Nursing Test Bank

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Correct Answer is A

Explanation

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Correct Answer is B

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