A clinic nurse is developing a teaching handout for patients who are prescribed warfarin (Coumadin) therapy. Which statement should be included in this information?
1. "Tell your dentist you are taking warfarin prior to any procedures."
2. "Report to the lab for testing of activated partial thromboplastin time (APTT)."
3. "Avoid strenuous activities."
4. "Place ice at the injection site if stinging or burning occurs."
5. "Take nonsteroidal anti-inflammatories (NSAIDs) for minor pain relief."
Correct Answer: 1,3
Rationale 1: Warfarin increases the risk of bleeding from dental procedures.
Rationale 2: APTT is not used to monitor warfarin.
Rationale 3: Strenuous or risky activities place the patient at risk for injury and bleeding.
Rationale 4: Warfarin is not administered by injection.
Rationale 5: NSAIDs can cause bleeding if taken concurrently with warfarin.
You might also like to view...
Wound care is not a single process, but requires attending to different symptoms with different measures. Which of the following is needed for dermal ischemia?
A) Protection with DuoDerm or similar product and adhesive foam. B) Treatment with topical antibiotics. C) Protection with Vigilon or similar product. D) Debridement.
The school nurse has been called to the football field where player is immobile on the field after landing awkwardly on his head during a play. While awaiting an ambulance, what action should the nurse perform?
A) Ensure that the player is not moved. B) Obtain the player's vital signs, if possible. C) Perform a rapid assessment of the player's range of motion. D) Assess the player's reflexes.
The nurse determines that a patient has a scaphoid abdomen. Which health problem should the nurse suspect the patient is experiencing?
1. type 2 diabetes mellitus 2. Crohn disease 3. malnutrition 4. diverticulosis
You are conducting a preschool examination on a 5-year-old child. Which injury would most likely raise your suspicion that the child was being abused?
a. Recent bruising over both knees b. A healed laceration under the chin c. A bruise on the right shin with associated abrasion of tissue d. Bruises in various stages of resolution over body soft tissues