Which dietary teaching does the nurse include for a patient who is prescribed warfarin (Couma-din) on discharge?
a. "Weight loss diets such as the Atkins diet are OK while taking this drug."
b. "Be sure to eat lots of green leafy vegetables for extra vitamin K."
c. "Dietary changes do not affect the action of this drug."
d. "Drinking alcoholic beverages can change the action of warfarin."
D
Patients should be taught to maintain their current diet and not to adopt fad diets such as an all-vegetarian diet or the Atkins diet. Abrupt dietary changes can alter the INR test results. Foods rich in vitamin K may interfere with the action of warfarin (vitamin K is the antidote for warfarin). Alcohol can also interfere with the action of warfarin and patients should be instructed to discuss this with their prescriber before drinking.
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The nurse is caring for a client who has been admitted to the unit with respiratory failure and respiratory acidosis. Which data from the nursing history would the nurse suspect contributed to the client's current state of health?
A) Use of ibuprofen for the control of pain B) A recent trip to South America C) Aspiration pneumonia D) Recent recovery from a cold virus
A patient has returned to the emergency department (ED) numerous times over the past 3 months. The patient has newly diagnosed diabetes and cannot afford testing supplies. Which ED nurse referral is indicated?
1. Nurse educator 2. Emergency nurse practitioner (ENP) 3. Emergency clinical nurse specialist (ECNS) 4. Case manager
A major difference between coping resources and coping mechanisms is that:
a. coping resources are adaptive, whereas coping mechanisms are usually maladaptive. b. coping resources are assets, whereas coping mechanisms can be assets or liabilities. c. individuals have multiple coping resources, but coping mechanisms are limited in number. d. available coping resources are more predictive of outcome than are the coping mechanisms used.
Antihistamine drugs
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