A clinic nurse is developing a teaching handout for clients who are prescribed warfarin (Coumadin) therapy. Which statements should be included in this information?

Question

Standard Text: Select all that apply.
1. "Tell your dentist you are taking warfarin prior to any procedures."
2. "Report to the lab for testing of activated partial thromboplastin time (APTT)."
3. "Avoid strenuous activities."
4. "Place ice at the injection site if stinging or burning occurs."
5. "Take nonsteroidal anti-inflammatories (NSAIDs) for minor pain relief."

Answer 1

Correct Answer: 1,3
Rationale 1: Warfarin increases the risk of bleeding from dental procedures.
Rationale 2: APTT is not used to monitor warfarin.
Rationale 3: Strenuous or risky activities place the client at risk for injury and bleeding.
Rationale 4: Warfarin is not administered by injection.
Rationale 5: NSAIDs can cause bleeding if taken concurrently with warfarin.
Global Rationale: Warfarin increases the risk of bleeding from dental procedures. Strenuous or risky activities place the client at risk for injury and bleeding. APTT is not used to monitor warfarin. Warfarin is not administered by injection. NSAIDs can cause bleeding if taken concurrently with warfarin.