The nurse is providing education about warfarin (Coumadin) to a group of Asian American and African American clients who have experienced strokes. The nurse determines that learning has occurred when the clients make which statement?
1. "We might need to have more frequent blood tests."
2. "We might need less medication than other ethnic groups."
3. "We might need to have less frequent blood tests."
4. "We might need more medication than other ethnic groups."
Correct Answer: 2
Rationale 1: There is no need for Asian American and African American clients to have more frequent blood tests if their dosage is regulated based on their reduced metabolism of the drug.
Rationale 2: Asian Americans and African Americans have reduced metabolism rates of warfarin (Coumadin), so they often require lower doses to prevent toxicity.
Rationale 3: As they have a reduced metabolism rate of warfarin, reduced blood tests would not be appropriate.
Rationale 4: They would need less medication, not more, related to their reduced metabolism rate of the drug.
Global Rationale: Asian Americans and African Americans have reduced metabolism rates of warfarin (Coumadin), so they often require lower doses to prevent toxicity. There is no need for Asian American and African American clients to have more frequent blood tests if their dosage is regulated based on their reduced metabolism of the drug. As they have a reduced metabolism rate of warfarin, reduced blood tests would not be appropriate. They would need less medication, not more, related to their reduced metabolism rate of the drug.
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