The nurse is providing a discharge instruction sheet for a client who has had a pulmonary embolism and is going home on Coumadin therapy. Which of the following are important to review with the client?
a. Follow up with the lab at prescribed intervals for PT/PTT levels.
b. Use a soft toothbrush to prevent trauma to gums and bleeding.
c. Inspect skin daily for bruises and/or petechiae.
d. Eat a large amount of leafy, green vegetables a day for good nutrition.
e. Continue other aspirin medications for arthritis pain as needed.
f. Report nosebleeds, tarry stool, hematuria, or hematemesis to physician.
g. Report signs and symptoms of amenorrhea to physician.
A, B, C, F
Client teaching for anticoagulant therapy (Coumadin) should stress the importance of follow-up laboratory testing, using a soft toothbrush to prevent trauma to the gums (bleeding), inspecting the skin for bruises or petechiae, using an electric razor to avoid scratching skin, reporting nosebleeds, tarry stool, hematuria, or hematemesis to the physician, eating a consistent amount of green, leafy vegetables daily (differing amounts alter anticoagulant effects), avoiding other medications including aspirin (it has an anticoagulant effect) without approval from physician and in the female client, monitor menstrual flow for excessive amount.
You might also like to view...
Which option most closely demonstrates the concept of shared governance in a health care organization?
1. The nurse makes the decision to increase the frequency of output measurement on a postoperative client. 2. The nurse complains to a co-worker that there is not enough staff on duty for the patient acuity this shift. 3. The nurse is asked to serve on one of the strategic planning committees of the hospital. 4. The nurse is asked to be chairperson of a fundraising committee.
The informatics nurse needs to complete mandatory continuing education hours for relicensure. Which action should the nurse take after locating an online education program?
A) Validate the approval body. B) Complete the registration form. C) Review the learning objectives. D) Pay the fee to access the program.
When the community health nurse is examining barriers to successful behavioral change, the nurse identifies that there are no laws in the community that prohibit smoking in public areas,
which leads to increased smoking and increased risks to health related to secondhand smoke. The nurse believes that a possible solution is to advocate for a citywide bans on smoking in public locations. Which type of factor is affecting the behavior in the community? A) Enabling factors B) Predisposing factors C) Reinforcing factors D) Unrelated factors
A.P. says she does not understand why her partners must be told about the infection. How
would you respond? What will be an ideal response?