Which statement made by a patient indicates to the nurse that a teaching plan for the use of warfarin was not effective?
a. "I don't take aspirin anymore."
b. "I read that grapefruit interferes with warfarin."
c. "I'm drinking too much tea. My urine looks like tea."
d. "I wear my medical alert bracelet all the time."
C
Anticoagulants, such as warfarin (Coumadin), can cause bleeding. A sign of bleeding may be bruising, tea- or cola-colored urine, or dark-colored stool.
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A nurse is explaining to a nursing student how clomiphene [Clomid] works to improve fertility. Which statement by the student indicates a need for further teaching?
a. "Clomiphene blocks estrogen receptors to cause increased secretion of gonadotro-pins." b. "Clomiphene directly stimulates the ovary, causing follicular maturation and ovulation." c. "If follicular maturation is the only result of clomiphene therapy, human chorionic gonadotropin may be given." d. "If the pituitary gland cannot produce LH and FSH, clomiphene will not be effec-tive."
A patient has smoked most of his life and has labored respirations. He is experiencing
A) Dyspnea B) Fremitus C) Stridor D) Wheeze
Two women have an established long-term relationship and are attending parenting classes in anticipation of finalizing adoption of a baby. The nurse identifies them as which type of family?
a. Cohabiting b. Nuclear c. Same-sex d. Single parent
A few weeks after learning that the first taking of the NCLEX-PNÆ was unsuccessful, what should the graduate do to prepare for retaking the NCLEX-PNÆ? Select all that apply
A) Arrange a clinical internship to gain more bedside experience B) Focus her studying on the areas that were most challenging on the first exam C) Take mock exams, focusing on the types of questions where she had difficulty D) Get help from a nursing instructor on interpreting her Candidate Performance Review E) Ask LP/VNs who have passed the NCLEX-PNÆ about why they believe they were successful