The patient is being discharged on warfarin (Coumadin) following a valve replacement. The nurse has completed medication education and determines that learning has occurred when the patient makes which statement?
1. "I must wear a MedicAlert bracelet that says I'm on warfarin (Coumadin)."
2. "If I notice any bruising or bleeding I will need to have lab work done."
3. "I can take enteric-coated aspirin, but not plain aspirin for my arthritis."
4. "I must limit my intake of vitamin C while I'm on warfarin (Coumadin)."
Correct Answer: 1
Rationale: Patients on anticoagulant therapy should wear a MedicAlert bracelet. Aspirin is not allowed when a patient is on anticoagulant therapy. Lab work must be done routinely, not just if the patient notices bruising or bleeding. The intake of Vitamin K, not Vitamin C must be limited when a patient receives warfarin (Coumadin).
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