A patient who has had a mechanical valve replaced is receiving discharge instructions regarding Coumadin therapy from the nurse. Which of the following patient statements would indicate that the patient understands the teaching?

1. "I will avoid bananas and citrus fruit.".
2. "I will increase fiber in my diet.".
3. "I will avoid crowded environments.".
4. "I will include more salads with my meals.".


1

Rationale: Bananas and citrus fruit have high vitamin K content and should be avoided in the patient taking Coumadin. Vitamin K is the antagonist to warfarin sodium and will adversely affect the effects of the medication in the patient.

Nursing

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Differentiate between evidence-based nursing practice (EBNP) and research utilization (RU) by selecting the correct statements. Standard Text: Select all that apply

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The presence of tiny, palpable clusters of calcium may be indicative of a(n):

a. excessive intake of calcium supplements b. breast tissue post mammogram c. early sign of breast cancer d. localized breast inflammatory process

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Sterile technique would be required for

1. Subcutaneous injection. 2. Oral medication. 3. Eye drop administration. 4. Oxygen administration.

Nursing

When the client has been diagnosed as having an infection in the semicircular canals in the vestibular apparatus of the ear, the nurse should assess the client for

A) Instability when walking, because the semicircular canals maintain equilibrium B) Anxiety, because the semicircular canals maintain psychological understanding C) Ability to lift because the semicircular canals control gravitational pull D) Confusion because the semicircular canals control understanding

Nursing