A client recovering from a stroke is being discharged on oral warfarin sodium (Coumadin). During discharge teaching, which statement by the client would reflect an understanding of the effects of this medication?
1. "I will stop taking this medicine if I notice any bruising.".
2. "I will not eat spinach while I'm taking this medicine.".
3. "It will be okay for me to eat anything, as long as it is low-fat.".
4. "I'll check my blood pressure frequently while taking this medication.".
2. "I will not eat spinach while I'm taking this medicine.".
Rationale:
Warfarin sodium is a vitamin K antagonist. Green, leafy vegetables contain vitamin K and will therefore interfere with the therapeutic effects of the drug. Bruising is a common side effect, and the drug should not be stopped unless by prescriber order. Low-fat foods do not interfere with warfarin sodium therapy, which is not prescribed to affect the blood pressure.
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