The nurse is caring for an African-American patient who is taking warfarin (Coumadin) to prevent blood clots. The nurse will monitor this patient carefully for which effect?
a. Decreased therapeutic effects
b. Heightened risk for hemorrhage
c. Increased risk of hypersensitivity
d. Potential risk of paradoxical effects
ANS: A
Certain classifications of medications have different effects in individuals whose genetic markers are predominantly characteristic of a certain biologic group. African-American patients will tend to have a decreased therapeutic effect from warfarin (Coumadin).
You might also like to view...
The perinatal nurse knows that the lowest portion of the true pelvis is which of the following anatomical landmarks?
A. Pelvic outlet B. Linea terminalis C. Sacral promontory D. Sacrum
A nonstress test is an assessment test based on which phenomenon?
A) Braxton-Hicks contractions cause fetal heart-rate alterations. B) Fetal heart rate slows in response to a uterine contraction. C) Fetal movement causes an increase in maternal heart rate. D) Fetal heart sounds increase in connection with fetal movement.
A female client with an endocrine problem has hirsutism. Which question or statement by the nurse is most appropriate?
a. "Do you have the money to pay for treat-ment?" b. "I'm interested in knowing how you feel about yourself." c. "Many treatment options are available for this problem." d. "What can you do to prevent this from happening?"
Which of these tasks can be appropriately delegated to the nursing assistive personnel?
a. Performing the every-2-hour neurologic check b. Obtaining a complete set of VS and charting c. Instructing the parents on changes in neurologic status d. Changing the dressing on the surgical site