A post-stroke patient is going home on oral Coumadin (warfarin). During discharge teaching, which statement by the patient reflects 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 OK for me to eat anything.".
4. "I'll check my blood pressure frequently while taking this medication.".
2
Rationale 1: Bruising is a common side effect, and the drug should not be stopped unless by prescriber order.
Rationale 2: Warfarin is a vitamin K antagonist. Green, leafy vegetables contain vitamin K and will therefore interfere with the therapeutic effects of the drug.
Rationale 3: Fatty foods interfere with warfarin therapy.
Rationale 4: This medication does not affect the blood pressure.
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Select all that apply. 1. Do not drink any alcohol while taking this medication. 2. Drink a minimum of 2-1/2 to 3 quarts of fluid every day. 3. Notify the healthcare provider if urine color changes to reddish brown. 4. Changes in mentation and coordination are expected when taking this medication. 5. Contact the healthcare provider if urination becomes painful when taking this medication.
An older patient taking lithium carbonate (Eskalith) for 2 months has all of the following conditions. Which symptom does the nurse report to the prescriber as a possible side effect that may require a change of drug or drug dosage?
a. Dry mouth b. Increased belching after meals c. Weight loss of 6 lb in 1 week d. International normalized ratio (INR) of 1.1
The nurse is aware that some causes of cerebral palsy include: (Select all that apply.)
a. Perinatal cerebral hemorrhage b. Prolonged labor c. Maternal use of tobacco d. Maternal exposure to rubella e. Sexually transmitted diseases in the mother
Also known as narcotics, _______ are a group of analgesic drugs that cause a dreamlike state; high doses can induce sleep.
Fill in the blank(s) with the appropriate word(s).