Nokea
A client is prescribed warfarin. The client also takes a diuretic for the treatment of cardiac problems. The nurse would anticipate which of the following?
- A. Decreased effectiveness of the anticoagulant
- B. Increased effectiveness of the diuretic
- C. Increased absorption of the anticoagulant
- D. Increased absorption of the diuretic
Correct Answer: A
Rationale: The nurse should monitor for decreased effectiveness of warfarin as an effect of the interaction between the anticoagulant and the diuretic.
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A nurse is caring for a client prescribed warfarin. The nurse would instruct the client that which of the following foods are high in vitamin K?
- A. Dairy products
- B. Root vegetables
- C. Green leafy vegetables
- D. Fruits and cereals
Correct Answer: C
Rationale: The nurse should inform the client that green leafy vegetables are high in vitamin K, which can affect warfarin's efficacy.
A client is being discharged on warfarin therapy. Which of the following would the nurse include in the teaching plan for the client? Select all that apply.
- A. Be consistent with your intake of foods containing vitamin K.
- B. Do not change brands of warfarin without consulting the physician.
- C. Take the drug at the same time every evening.
- D. Do not take or stop taking other medications except on the advice of the physician.
- E. Inform the dentist of therapy with warfarin prior to any treatment or procedure.
Correct Answer: A,B,C,D,E
Rationale: Instructions would include being consistent with intake of foods containing vitamin K, not changing brands of the drug, taking the drug at the same time each evening, not taking or stopping other medications, and informing the dentist about the use of warfarin.
A client in a health care facility is receiving the thrombolytic drug reteplase. Which nursing diagnosis would be most likely?
- A. Anxiety
- B. Constipation
- C. Disturbed Sensory Perception
- D. Ineffective Tissue Perfusion
Correct Answer: A
Rationale: The nursing diagnoses for a client receiving the thrombolytic drug reteplase should include Anxiety, as thrombolytic therapy can be stressful due to its critical nature.
A client is being discharged from the hospital with a prescription for clopidogrel. The nurse would instruct the client about which of the following as a possible adverse reaction? Select all that apply.
- A. Skin rash
- B. Bleeding
- C. Heart palpitations
- D. Nausea
- E. Constipation
Correct Answer: A,B,C,E
Rationale: The most common adverse reactions associated with clopidogrel are skin rash, dizziness, bleeding, palpitations, and constipation.
A client is experiencing an overdosage of heparin. The nurse would expect to administer which of the following?
- A. Vitamin K1
- B. Protamine
- C. Ticlopidine
- D. Tenecteplase
Correct Answer: B
Rationale: Heparin overdosage is treated with protamine, which neutralizes heparin's anticoagulant effects.