The nurse is teaching a client who is receiving sodium warfarin (Coumadin). Which topics does the nurse include in the teaching plan? (Select all that apply.)
a. Foods high in vitamin K
b. Using acetaminophen (Tylenol) for minor pain
c. Daily exercise and weight management
d. Use of a safety razor and soft toothbrush
e. Blood testing regimen
A, B, D, E
The client on warfarin will need to know which foods are high in vitamin K because vitamin K intake must be consistent to avoid interfering with the anticoagulant properties of warfarin. Clients should not take aspirin or NSAIDs for minor pain owing to their anticoagulant properties. Clients must use safety razors and soft toothbrushes to avoid bleeding episodes. The client on warfarin needs regular blood tests for prothrombin time (PT) and international normalized ratio (INR). Daily exercise and weight management are not specifically important to this client.
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A patient has been admitted to the critical care unit in myxedema coma. What patient description does the nurse most expect?
A) Young man with abdominal trauma B) Middle-aged man with skeletal trauma C) Middle-aged woman in summer D) Elderly woman during winter
An elderly man has been admitted to a residential care facility and the nurse has conducted a medication reconciliation. The man has taken numerous drugs in the past, including a course of bicalutamide (Casodex) several years earlier
The nurse recognizes this drug as being an antiandrogen and is consequently justified in presuming that the man has a history of what disease? A) Lymphoma B) Lung cancer C) Skin cancer D) Prostate cancer
An 82-year-old patient tells the nurse that his reports of pain in his legs were dismissed by a new physician in the practice as "just what happens to everyone." What is an appropriate response for the nurse to make?
1. "Are you really in that much pain? Perhaps you just need to be more active." 2. "I think the doctor is just trying to help you get used to the effects of old age." 3. "It might be useful for you to tell the physician how you feel. Do you feel comfortable doing that?" 4. "That doctor shouldn't treat you so poorly. You should complain to the office manager."
A student has just listened to a lecture on better strategies for studying. Which of the student's actions indicate understanding? (Select all that apply.)
a. Wait until the evening to study. b. Begin with the most difficult subjects. c. Create a conducive study environment. d. Record the lectures and listen to them in your car. e. Begin to study the day before an exam.