A 65-year-old client with a long-standing history of chronic obstructive pulmonary disease (COPD) was placed recently on Coumadin after experiencing atrial fibrillation. Upon discharge from the hospital,
which of the following statements by the client indicates a need for further teaching?
A) "I will continue to use smokeless tobacco since it's a lot better than smoking."
B) "I will avoid using over-the-counter antihistamines since they can dry my mucosal secretions."
C) "I will watch my intake of dark green leafy vegetables since they may impact the effects of Coumadin."
D) "I will not take any herbal preparations without my health care provider's knowledge."
Ans: A
Smokeless tobacco is associated with mouth cancer, gingivitis, and tooth loss and may be carcinogenic to the pancreas. The other noted actions are appropriate to the maintenance of health.
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