The nurse is sending a patient home who will remain on anticoagulant therapy. What teaching point does the nurse make when teaching the patient about the drug? (Select all that apply.)
A) "Brush teeth gently with soft bristle brush."
B) "Wear or carry a MedicAlert notification."
C) "Warning signs of bleeding include fatigue, pallor, and increased heart rate."
D) "Treat minor side effects with over-the-counter (OTC) medications."
E) "Obtain follow-up lab work regularly as ordered."
A, B, C, E
Feedback:
Patients should be taught to avoid bleeding risk by brushing teeth gently, using electric razors, and avoiding dangerous activities or falls that could cause bleeding. The patient should have a MedicAlert to notify other health care providers of anticoagulant therapy. Teach patients to recognize the signs of blood loss and stress the importance of follow-up lab work. Patients should be taught to avoid adding any new medication, prescription or OTC, without first talking to the health care provider or pharmacist to ensure safety.
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