The nurse has provided discharge education for a patient who had valve replacement surgery and is on warfarin. Which statement by the patient would indicate understanding of the nurse's instruction?
1. "I need to report bruising, bleeding, epistaxis, and hemoptysis to my health care provider."
2. "I should take aspirin and anti-inflammatory drugs (NSAIDs) for pain."
3. "I should avoid red meat."
4. "I need to eat large amounts of yellow and dark green vegetables."
1
Rationale 1: Bruising, bleeding, epistaxis, and hemoptysis are all signs of abnormal bleeding, which may indicate that a change is needed in the warfarin dosage.
Rationale 2: Aspirin and NSAIDs cause bleeding and would be contraindicated while taking warfarin.
Rationale 3: Avoiding red meat is not necessary.
Rationale 4: Yellow and green vegetables should be avoided due to their high vitamin K content, which counteracts the warfarin.
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