The nurse is providing discharge instructions for a patient going home on warfarin (Coumadin). Which of the following statements made by the patient indicates a need for further teaching re-garding warfarin?
a. "I will avoid participating in heavy contact sports."
b. "I will use my electric razor when shaving."
c. "I will take aspirin if I get a headache."
d. "I will contact my physician if I develop excessive bruising."
C
The patient's comment about taking aspirin for a headache demonstrates the need for further teaching. Aspirin should not be taken concurrently with warfarin, because it increases the effects of warfarin and therefore the risk for bleeding tendencies.
Contact sports can lead to injury, with resultant internal or external bleeding. The patient's comment demonstrates understanding of teaching.
An electric razor should be used rather than a regular razor to avoid potential injury. The patient's comment demonstrates understanding of teaching.
Excessive bruising is an adverse effect and should be reported to the prescriber. The patient's comment demonstrates understanding of teaching.
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