Client education is an important aspect of medication administration, so a nurse is discussing the use of Coumadin and its potential effects with her client. What is the BEST advice the nurse can share with the client regarding his INR blood test?
a. Many medications and certain foods containing vitamin K can change the level of the INR results.
b. The INR results will change day by day.
c. Wait until you return for your next visit to review INR results.
d. Ask your provider for advice based on the INR results.
a. Many medications and certain foods containing vitamin K can change the level of the INR results.
FEEDBACK:
a. Many medications and certain foods containing vitamin K can change the level of the INR results. For example, green leafy vegetables can inhibit the anticoagulation effect. In addition, many medications, including over-the-counter drugs, can increase the effect and risk of bleeding.
b. The INR will typically not change day by day; however, food, medication, and illness will have a change in the anticoagulation effect. .
c. There is a risk of bleeding when on Coumadin, and client education is vital. .
d. Nurses have a responsibility when administering medication to educate clients. .
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