In checking the chart of an elderly female outpatient on anticoagulant therapy, the LPN/LVN notes that the patient’s lab values are off. The patient says she takes her medication as prescribed, so the nurse asks about her dietary intake. Which of the following foods might have an effect on anticoagulant therapy?
A. broccoli
B. eggplant
C. oranges
D. grapes
A. broccoli
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A patient would be considered for cardiac conduction surgery if which of the following are present?
A) Sinus bradycardia not responsive to other treatments B) Functional rhythms not responsive to other treatments C) Atrial and ventricular tachycardias not responsive to other treatments D) Ventricular fibrillation not responsive to other treatments
Edith has been vocal about her negative concerns related to a new charting system and frequently expresses the view that keeping the "old system" would have been "just fine." In facilitating change, your best approach to Edith would be to:
a. Put her in the pilot planning group for the change. b. Determine if she has considered retire-ment. c. Schedule her work assignment so that it coincides with those of two staff members who are confident with technology and the change. d. Avoid discussion of the change, and trust that with sufficient training and informa-tion, she will change.
Medicare Advantage is essentially a managed care plan with a financial incentive to the insurance company to accept seniors, to create competition with the original Medicare. What is notable about Medicare Advantage?
A. As a new program, no one has yet seen any problems with this aspect of Medicare. B. Insurance salespeople have been very careful in explaining this program to seniors. C. More insurance companies are marketing such plans to seniors. D. Unless the senior is very healthy, the plan may cost more than the original Medicare.
A patient begins therapy with a phenothiazine medication. What teaching should the nurse provide related to the drug's strong dopaminergic effect?
a. Chew sugarless gum. b. Increase dietary fiber. c. Arise slowly from bed. d. Report changes in muscle movement.