Which statement would lead the nurse to offer more instruction about taking warfarin (Coumadin)?
a. "I eat a banana every morning with breakfast."
b. "I try to eat more green leafy vegetables, especially broccoli, spinach, and kale."
c. "I try to eat a well-balanced, low-fat diet."
d. "I don't drink alcohol or caffeine."
ANS: B
Avoid marked changes in eating habits, such as dramatically increasing foods high in vitamin K (e.g., broccoli, spinach, kale, greens). Limit alcohol intake to small amounts.
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From collected data the nurse determines that a client is at risk for hypertension. Which is the most significant risk factor that the nurse assessed in this client?
1. The client only exercises three times per week and is 15 pounds overweight. 2. The client smokes two packs of cigarettes per day and is obese. 3. The client is a manager at Microsoft. 4. The client's maternal grandmother died of complications related to malignant hypertension.
A patient with generalized convulsive disorder has a nursing diagnosis of "Deficient knowledge, related to lack of information about the side effects of phenytoin (Dilantin)." Which goal and outcome criteria would be most appropriate?
a. Absence of gastrointestinal (GI) com-plaint; takes medication with food b. Stimulation of gingiva; brushes teeth vi-gorously to encourage gingival growth c. Maintenance of normal pattern of elimi-nation; limits fluids and eats foods that reduce diarrhea d. Maintenance of normal sleep pattern; re-duces stimuli and takes warm baths to in-duce drowsiness
The nurse is administering a stat dose of epinephrine. Epinephrine is appropriate for which situation?
a. Severe hypertension b. Angina c. Cardiac arrest d. Tachycardia
A client is newly diagnosed with diabetes mellitus. When planning a teaching session to review insulin administration with this client, the nurse should
a. pick times for teaching when energy levels are low. b. schedule teaching sessions during hospital visiting hours. c. reserve a block of time for health teaching. d. provide the client with extensive information during 30-minute intervals.