The nurse is reviewing a client's medications and notes that the client is taking warfarin sodium. Which of the client's following lifestyle habits would concern the nurse? Select all that apply.
a. Kale shakes and salads twice per day
b. Playing on a local rugby team
c. Grapefruit juice every morning
d. One glass of wine per week
e. Availability of transportation to and from appointments once every two weeks
a. Kale shakes and salads twice per day
b. Playing on a local rugby team
rationale: Kale and other leafy greens contain vitamin K, which is the antidote to warfarin sodium. These should NOT be consumed in excess because they will negate the effect of the drug. Clients on anticoagulant therapy should not play contact sports because of the increased risk of bleeding. ALSO, grapefruit juice does not affect warfarin therapy.
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