The nurse has provided discharge instructions to a client being placed on long-term anticoagulant therapy with warfarin (Coumadin). Adequate learning would be evident if the client makes which of the following statements? Select all that apply
1. "I will inform my dentist that I am taking Coumadin."
2. "I may take over-the-counter medications as needed."
3. "I should alternate the timing of my daily dose of Coumadin."
4. "I will have my blood levels checked as prescribed by my physician."
5. "I will report any signs of blood in my urine or stool to my physician."
6. "I should use a firm-bristled toothbrush to prevent the side effects of Coumadin."
1, 4, 5
Rationale: Clients need to notify all health care providers that they are on warfarin (Coumadin) therapy. Dental procedures may put the client at risk for increased bleeding, so this should direct you to "I will inform my dentist that I am taking Coumadin." Knowing that the effectiveness of warfarin is based on maintaining a therapeutic blood level will direct you to select "I will have my blood levels checked as prescribed by my physician." Awareness of bleeding as a primary complication will direct you to "I will report any signs of blood in my urine or stool to my physician."
You might also like to view...
A nurse in the ICU receives report from the nurse in the emergency department about a new patient being admitted with a neck injury he received while diving into a lake
The emergency-department nurse reports that his blood pressure is 85/54, heart rate is 53 beats per minute, and his skin is warm and dry. What does the ICU nurse recognize that that patient is probably experiencing? A) Anaphylactic shock B) Neurogenic shock C) Septic shock D) Hypovolemic shock
Which evaluation principle requires the program to be rooted in the real community and based on assessment of the community?
A) Strengthen programs B) Use multiple approaches C) Design evaluation to address real issues D) Create a participatory process
Which of the following best explains why chlamydia is a major focus of public health efforts?
a. It has more serious long-term outcomes than other STDs b. It can cause problems in infants born to infected mothers c. It is not frequently seen in the United States d. It is so difficult and expensive to treat
A patient receives topical atropine to facilitate an eye examination. The nurse will tell the patient to remain in a darkened room or to wear sunglasses for several hours until the effects of the medication wear off
This teaching is based on the nurse's knowledge that muscarinic antagonists cause: a. elevation of intraocular pressure. b. miosis and ciliary muscle contraction c. paralysis of the iris sphincter. d. relaxation of ciliary muscles.