The patient has been started on warfarin (Coumadin) for deep vein thrombosis. The patient asks when the medication will break up the clots. The nurse's best response would be:

"This medication will not break down clots but will make it less likely that the clot will get larger."

"It will break down the clot within 8 to 12 hours of administration."

"It will take 7 to 10 days for the clot to break down."

"You will need to be on this medication for a long time before it will break down the clot."

Answer and Explanation

The Correct Answer is A

A. "This medication will not break down clots but will make it less likely that the clot will get larger." Warfarin (Coumadin) is an anticoagulant medication that works by inhibiting the synthesis of certain clotting factors in the liver. It does not directly break down existing clots but prevents the formation of new clots and the extension of existing ones. This response provides accurate information about the mechanism of action of warfarin.

B. "It will break down the clot within 8 to 12 hours of administration." This statement is incorrect. Warfarin does not have an immediate effect on existing clots. Its action is primarily preventive, reducing the risk of further clot formation and allowing the body's natural processes to gradually break down existing clots over time.

C. "It will take 7 to 10 days for the clot to break down." While the body's natural processes may start breaking down the clot within this timeframe, warfarin itself does not directly cause the dissolution of clots. This response is partially accurate in terms of the timeline for the body's natural clot resolution but does not specify that warfarin itself is not responsible for clot breakdown.

D. "You will need to be on this medication for a long time before it will break down the clot." This statement is misleading. Warfarin's role is to prevent the formation of new clots and further extension of existing ones rather than directly breaking down clots. Additionally, the duration of warfarin therapy is typically determined based on the individual's risk factors for clot formation, and it may not necessarily correlate with the time it takes for existing clots to resolve.

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Correct Answer is {"dropdown-group-1":"A"}

Explanation

A. Whole: Complementary and alternative medicine (CAM) emphasizes treating the entire person, considering physical, mental, emotional, and spiritual aspects of health. It aims to restore balance and promote overall well-being.

B. Diseased: CAM focuses on addressing the root cause of illness, not just treating the symptoms of a disease. While disease management can be a part of CAM, it's not the sole focus.

C. Partial: CAM doesn't focus on treating only a part of the person. It aims for a comprehensive approach.

D. Impaired: While CAM can be used to address impairments, it has a broader scope that encompasses promoting overall health and preventing illness, not just treating existing limitations

A. check with a reputable pharmacist B. take less than the recommended dose initially C. use only one herbal preparation at a time D. never take with prescription medications

Correct Answer is B

Explanation

A. Check with a reputable pharmacist: This option is a good practice, especially when starting any new medication or supplement regimen. Pharmacists are trained to understand drug interactions and potential adverse effects. They can provide valuable information about herbal products, their interactions with prescription medications, and potential allergic reactions. However, it might not be the best way to identify allergic reactions firsthand.

B. Take less than the recommended dose initially: This approach, known as dose titration, can be beneficial for identifying potential adverse reactions, including allergies. By starting with a smaller dose, the client can gauge their body's response to the herbal product. If there's any adverse reaction, it's likely to be less severe than if they took a full dose. This option allows for a controlled introduction to the herbal product. This option allows for a controlled introduction to the herbal product, minimizing the risk of severe adverse reactions while still providing valuable information about the client's tolerance and potential allergies.

C. Use only one herbal preparation at a time: This is a prudent approach because it simplifies the process of identifying the cause of any adverse reactions. If the client is using multiple herbal products simultaneously and experiences a reaction, it can be challenging to determine which product is responsible. Using only one product at a time helps isolate the source of any adverse effects, making it easier to identify allergies or other reactions.

D. Never take with prescription medications: This option is not entirely accurate. While it's essential to be cautious about potential interactions between herbal products and prescription medications, there are instances where they can be safely taken together. However, it's crucial to consult with a healthcare provider or pharmacist to ensure there are no contraindications or adverse effects when combining herbal products with prescription medications.

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The patient has been started on warfarin (Coumadin) for deep vein thrombosis. The patient asks when the medication will break up the clots. The nurse's best response would be:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Complementary and alternative medicine focuses on treating the person using natural products and mind-body therapies.

Correct Answer is {"dropdown-group-1":"A"}

Explanation

When beginning herbal products, the nurse understands that the best way to identify allergic or other adverse reactions is to have the client:

Correct Answer is B

Explanation

is the stopping of blood flow, an essential mechanism protecting the body from both external and internal injury.

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Unlike heparin, the anticoagulant activity of warfarin can take several to reach its maximum effect.

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A nurse is caring for a client who has a new prescription for warfarin. The nurse should use the results of which of the following diagnostic tests to monitor the effect of this therapy?

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