Which of the following would be included in bleeding precautions for a client taking warfarin? SELECT ALL THAT APPLY

Use soft bristled tooth brush

Report black or bloody bowel movements

Limit all fruits and vegetables

Report coffee ground or bloody emesis

Shave with electric razor instead of razor blade

Answer and Explanation

Correct Answer : A,B,D,E

Choice A reason: Using a soft bristled tooth brush can prevent gum bleeding and irritation that may occur with a hard bristled tooth brush. Gum bleeding can be a sign of excessive anticoagulation and increased risk of bleeding.

Choice B reason: Reporting black or bloody bowel movements is important because it can indicate gastrointestinal bleeding, which can be a serious complication of warfarin therapy. Gastrointestinal bleeding can cause anemia, shock, and even death if not treated promptly.

Choice C reason: Limiting all fruits and vegetables is not necessary for a client taking warfarin. However, some fruits and vegetables, especially those that are high in vitamin K, can interfere with the effect of warfarin and increase the risk of clotting. Vitamin K is found in green leafy vegetables, such as spinach, kale, broccoli, and cabbage, and some fruits, such as avocado, kiwi, and grapes. The client should maintain a consistent intake of vitamin K and avoid sudden changes in their diet.

Choice D reason: Reporting coffee ground or bloody emesis is also important because it can indicate upper gastrointestinal bleeding, which can be another serious complication of warfarin therapy. Upper gastrointestinal bleeding can cause hematemesis, melena, anemia, and hypovolemic shock.

Choice E reason: Shaving with an electric razor instead of a razor blade can prevent skin cuts and bleeding that may occur with a razor blade. Skin cuts and bleeding can be a sign of excessive anticoagulation and increased risk of bleeding.

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Correct Answer is ["5"]

Explanation

To calculate the amount of megestrol oral suspension that the nurse should administer, we can use the following formula:

Amount to administer (mL) = (Desired dose in mg) / (Amount of drug in 1 mL)

Given:

Desired dose = 200 mg

Amount of drug in 1 mL = 40 mg/mL

Now, let's calculate the amount to administer:

Amount to administer (mL) = 200 mg / 40 mg/mL

Amount to administer (mL) = 5 mL

Rounding to the nearest whole number, the nurse should administer 5 mL of the megestrol oral suspension.

A. Sulfa allergy B. aPTT C. Hemoglobin D. Blood pressure

Correct Answer is D

Explanation

Choice A reason: This choice is incorrect because sulfa allergy is not a priority assessment for the nurse to make prior to giving nifedipine. Sulfa allergy is a hypersensitivity reaction to drugs that contain sulfonamide, such as antibiotics, diuretics, or antidiabetic agents. Sulfa allergy can cause symptoms such as rash, itching, fever, or anaphylaxis. Nifedipine does not contain sulfonamide and does not cross-react with sulfa drugs. The nurse should ask the client about any drug allergies and document them, but sulfa allergy is not relevant to nifedipine.

Choice B reason: This choice is incorrect because aPTT is not a priority assessment for the nurse to make prior to giving nifedipine. aPTT stands for activated partial thromboplastin time, which is a measure of how long it takes the blood to clot. It is used to monitor the effect of anticoagulant drugs, such as heparin, that prevent blood clots. Nifedipine does not affect the blood clotting time and does not interact with anticoagulant drugs. The nurse should check the aPTT only if the client is taking anticoagulant drugs and has signs of bleeding or clotting.

Choice C reason: This choice is incorrect because hemoglobin is not a priority assessment for the nurse to make prior to giving nifedipine. Hemoglobin is a protein in the red blood cells that carries oxygen to the tissues and organs of the body. Hemoglobin levels can be affected by conditions such as anemia, dehydration, or blood loss. Nifedipine does not affect the hemoglobin levels or the oxygen delivery. The nurse should monitor the hemoglobin levels and the signs of anemia, such as fatigue, pallor, or shortness of breath, but they are not related to nifedipine.

Choice D reason: This choice is correct because blood pressure is the priority assessment for the nurse to make prior to giving nifedipine. Nifedipine is a calcium channel blocker that lowers blood pressure and relaxes the blood vessels. It is used to treat conditions such as hypertension, angina, and Raynaud's phenomenon. However, nifedipine can cause side effects such as hypotension (low blood pressure), dizziness, headache, flushing, and edema (swelling). The nurse should check the client's blood pressure before giving nifedipine and withhold the dose if the blood pressure is too low. The nurse should also monitor the client's blood pressure and the signs of hypotension, such as fainting, weakness, or chest pain.

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Which of the following would be included in bleeding precautions for a client taking warfarin? SELECT ALL THAT APPLY

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer megestrol 200 mg PO to a client. Available is megestrol oral suspension 40 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["5"]

Explanation

A client has been prescribed nifedipine for angina. What is the priority assessment for the nurse to make prior to giving this medication?

Correct Answer is D

Explanation

A nurse is preparing to administer voriconazole 6 mg/kg via intermittent IV bolus to a client who weighs 127 lb. Available is voriconazole 5 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A child has been prescribed to begin treatment with somatropin for growth deficiency. His mom asks how long he will need to take this medication. What is the nurse’s best response?

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The nurse is giving the vasodilator medication hydralazine IV push to a client with a systolic blood pressure of 210. What nursing education would be most important to include for this client?

A nurse is reviewing medications prescribed for a client. For which of the following prescriptions should the nurse contact the provider for clarification?