The nurse is providing discharge teaching regarding anticoagulant therapy. Which statements by the patient would the nurse evaluate as indicating the need for further instruction?

Question

1. "I'll ask for an electric razor for my birthday next week."
2. "I guess my trip to the amusement park is off for now."
3. "I won't be able to cook anymore."
4. "I'll get one of those new electric toothbrushes with the firm bristles."
5. "I should make an appointment for a B12 injection monthly."

Answer 1

3,4,5
Rationale 1: Use of an electric razor is preferred for patients on anticoagulant therapy.
Rationale 2: The patient should avoid situations in which jostling or violent bumping could occur.
Rationale 3: The patient should be cautious when cutting food for preparation, but cooking is not prohibited.
Rationale 4: The patient should use a soft-bristle toothbrush.
Rationale 5: IM injections should be avoided.
Global Rationale: The patient should be cautious when cutting food for preparation, but cooking is not prohibited. The patient should use a soft-bristle toothbrush. IM injections should be avoided. Use of an electric razor is preferred for patients on anticoagulant therapy. The patient should avoid situations in which jostling or violent bumping could occur.