Which of the following statements by a client receiving warfarin (Coumadin) indicates the need for further teaching?
"I use a laxative every other day."
"I use antacids once in a while."
"I ate some corn yesterday."
"I always have aspirin with me to take for my headaches."
The Correct Answer is D
Choice A reason: Laxatives don’t significantly affect warfarin’s anticoagulation; this is safe. Aspirin increases bleeding risk, needing teaching, per nursing pharmacology. It’s a universal distinction, distinctly unrelated to warfarin’s primary concerns.
Choice B reason: Occasional antacids minimally impact warfarin; this is acceptable. Aspirin’s bleeding risk is the issue, per nursing standards. This doesn’t require teaching, universally distinct from anticoagulation education.
Choice C reason: Corn has negligible vitamin K; it doesn’t affect warfarin. Aspirin use needs correction, per nursing pharmacology. This is safe, universally distinct from dietary teaching for anticoagulants.
Choice D reason: Aspirin with warfarin heightens bleeding risk significantly; this requires teaching. Other statements are benign, per nursing standards. It’s a universal concern, distinctly critical for safe anticoagulation management.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Dexamethasone, a steroid, acts slowly, not fast for emergencies. Epinephrine relieves bronchospasm rapidly. This choice errors per nursing standards. It’s universally distinct as unsuitable for acute COPD bronchospasm relief.
Choice B reason: Zafirlukast prevents asthma, not acute bronchospasm; it’s slow-acting. Epinephrine works instantly. This choice misaligns with nursing pharmacology. It’s universally distinct, lacking emergency speed required.
Choice C reason: Oxtriphylline, a bronchodilator, is gradual, not fast-acting. Epinephrine suits emergencies better. This choice errors per nursing standards. It’s universally distinct, ineffective for acute bronchospasm relief.
Choice D reason: Epinephrine dilates bronchi fast, ideal for acute bronchospasm in COPD. It aligns with nursing pharmacology standards. This is universally applied, distinctly effective in emergency respiratory situations.
Correct Answer is A
Explanation
Choice A reason: Cooling a soft suppository in foil under cold water firms it for insertion. This is practical, per nursing pharmacology. It’s universally applied, distinctly effective for administration.
Choice B reason: Not administering skips needed therapy; cooling resolves softness safely. This overreacts, per nursing standards. It’s universally distinct, errors in patient care continuity.
Choice C reason: Inserting a soft suppository reduces efficacy and comfort; cooling is better. This risks failure, per nursing pharmacology. It’s universally distinct, a poor choice.
Choice D reason: Returning to pharmacy delays treatment; cooling is faster and sufficient. This errors, per nursing standards. It’s universally distinct, less practical than cooling.
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