The nurse has instructed a client recovering from a pulmonary embolism on long-term anticoagulant therapy. Which client statement indicates that instruction has been effective?

A) "I will expect bloody sputum when I brush my teeth."
B) "I need to use a soft toothbrush and an electric razor, and avoid injuries."
C) "I need to eat a well-balanced diet with green salads."
D) "I can expect to be bruised, since this is normal."


Answer: B

Instruction on anticoagulant therapy should include the need to avoid injury, use a soft toothbrush, and use an electric razor. The client should be instructed to obtain a Medic-Alert bracelet that identifies anticoagulant therapy. The client should avoid green salads because of the vitamin K content. The statements about bruising being normal and expecting bloody sputum mean the client is in need of additional instruction on anticoagulant therapy.

Nursing

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