The nurse notes that a client receiving warfarin (Coumadin) has a high international normalized ratio (INR). Which question should the nurse include in the assessment?
A. "Do you eat a lot of garlic?"
B. "Have you been eating a lot of salads and vegetables?"
C. "Do you drink a lot of milk?"
D. "Are you restricting your fluids?"
Answer: A
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During the spiritual assessment, the patient indicates that he or she does not eat meat. This would be considered a:
A) Personal choice B) Religious practice C) Risk for malnutrition D) Lifestyle choice
An elderly client with depression who is being treated with a tricyclic antidepressant should be
carefully observed for a. orthostatic hypotension and urinary retention. b. photosensitivity and skin rashes. c. pseudo-Parkinsonism and tardive dyskinesia. d. diarrhea and electrolyte imbalance.
Which of the following situations would be appropriate for the supervisory level of initial direction and/or periodic inspection?
a. Experienced RNs work together to provide care for a group of patients newly diagnosed with meningitis. b. The RN assigns the LPN tasks within her scope of practice and checks back during the shift to ensure the tasks are completed correctly. c. A new graduate nurse is assigned care to a male patient with a hematocrit of 11.0 grams of hemoglobin per deciliter and is receiving a blood transfusion. The charge nurse checks on the patient status every 15 to 30 minutes and asks the graduate to explain "next steps." d. No supervision is necessary since both are registered nurses.
A nurse is reinforcing discharge instructions concerning foodÂ?drug interactions. The nurse determines that the patient understands when the patient makes which statement?
1. "I should take my medications with water to avoid any problems with my medications being absorbed." 2. "I cannot take one of my medications with grapefruit juice because it will decrease the absorption of the medication." 3. "I need to be sure to read the prescription label because the pharmacist will indicate if I need to take my medication with food or without food." 4. "I should take my daily vitamin 2 hours after my medication so they do not affect each other." 5. "If I take my medication with hot tea, it will not affect absorption."