The nurse has instructed a client recovering from a pulmonary embolism on long-term anticoagulant therapy. Which of the following would indicate that instruction has been effective?
1. The client states the need to eat a well-balanced diet with green salads.
2. The client states the need to use a soft toothbrush, electric razor, and avoid injuries.
3. The client states that bruising is normal.
4. The client states that minor bloody sputum is to be expected.
2. Client states the need to use a soft toothbrush, electric razor, and avoid injuries.
Rationale:
Instruction on anticoagulant therapy should include the need to avoid injury, use a soft toothbrush, and use an electric razor. The client should be instructed to obtain a Medic-Alert bracelet that identifies anticoagulant therapy. The client should avoid green salads because of the vitamin K content. The client who states that bruising is normal and bloody sputum is expected is in need of additional instruction on anticoagulant therapy.
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