The nurse should instruct clients taking oral anticoagulants who are then started on propylthiouracil (PTU) to:
a. ask their health care providers if they should have both drug dosages decreased.
b. get a lower propylthiouracil (PTU) dose than is usually prescribed.
c. discuss with health care provider about having the oral anticoagulant dose decreased.
d. discuss with health care provider about having the oral anticoagulant dose increased.
ANS: C
Feedback
A Incorrect: This is not appropriate client teaching.
B Incorrect: This is not appropriate client teaching.
C Correct: Oral anticoagulant dosages need to be decreased, because of the risk of hypoprothrombinemia associated with PTU.
D Incorrect: This will increase the client's risk of bleeding.
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