A client is being discharged soon on warfarin (Coumadin). What menu selection for dinner indicates the client needs more education regarding this medication?
a. Hamburger and French fries
b. Large chef's salad and muffin
c. No selection; spouse brings pizza
d. Tuna salad sandwich and chips
ANS: B
Warfarin works by inhibiting the synthesis of vitamin K-dependent clotting factors. Foods high in vitamin K thus interfere with its action and need to be eaten in moderate, consistent amounts. The chef's salad most likely has too many leafy green vegetables, which contain high amounts of vitamin K. The other selections, while not particularly healthy, will not interfere with the medication's mechanism of action.
You might also like to view...
A surgical unit uses Betadine to prep the skin before surgery. A nurse is using the scientific method to decide if soap and water is better than Betadine for preparing the skin for surgery
A nurse washes one group of patients with soap and water and washes another group of patients with Betadine. Which step did the nurse implement? a. Identifying the problem b. Forming the question or hypothesis c. Answering the question or hypothesis d. Evaluating the results of the test or study
A 56-year-old patient arrives in the emergency department with hemiparesis and dysarthria that started 2 hours previously, and health records show a history of several transient ischemic attacks (TIAs). The nurse anticipates preparing the patient for
a. surgical endarterectomy. b. transluminal angioplasty. c. intravenous heparin administration. d. tissue plasminogen activator (tPA) infusion.
For prenatal care, the client is attending a clinic held in a church basement. The client's care is provided by registered nurses and a certified nurse-midwife. What is this type of prenatal care?
1. Secondary care 2. Tertiary care 3. Community care 4. Unnecessarily costly care
The regulations affecting the ethical conduct of research sponsored by the U. S. federal government were formulated on the basis of:
A) The Nuremberg Code B) The Declaration of Helsinki C) The Belmont Report D) The Code of Ethics of the American Psychological Association