Nokea
A nurse is providing discharge teaching to a client who recently underwent a mechanical valve replacement. Which of the following statements by the client indicates the clients correct understanding of the discharge teaching regarding warfarin anticoagulant therapy?
- A. I may need to modify my diet while on this medication
- B. I do not need to take my prescribed medication for the rest of my life
- C. Additional monitoring is not required while on the anticoagulant
- D. I can lead a normal life while on anticoagulants; no restrictions are required
Correct Answer: A
Rationale: Mechanical valves demand warfarin forever diet tweaks, like steady vitamin K, keep INR stable, a sign the client gets it. Lifelong meds, monitoring, and restrictions (e.g., bleeding risk) are non-negotiable. Nurses cheer this dietary nod, ensuring warfarin's tightrope walk succeeds, a smart grasp in this valve swap life.
You may also like to solve these questions
A nurse is caring for a 19-year-old male recently diagnosed with leukemia. Which of the following nursing interventions is appropriate for the care of this client?
- A. Fluid restriction
- B. Low residual diet
- C. Therapeutic phlebotomy
- D. Strict hand hygiene to prevent infection
Correct Answer: D
Rationale: Leukemia's marrow mess drops immunity strict hand hygiene shields this 19-year-old from infections, a top intervention as neutrophils crash. Fluid restriction fits overload, not here. Low residual diets aid bowels, irrelevant. Phlebotomy's for polycythemia. Nurses scrub up, guarding this young client, a germ-free must in leukemia's fragile fight.
A child is seen in the pediatrician's office for complaints of bone and joint pain. Which other assessment finding may indicate leukemia?
- A. Abdominal pain
- B. Increased activity level
- C. Increased appetite
- D. Petechiae
Correct Answer: D
Rationale: Leukemia often presents with bone and joint pain due to marrow infiltration by leukemic cells, but petechiae small red or purple spots from minor bleeds under the skin are a key additional sign of bleeding tendencies from thrombocytopenia, a common leukemia consequence. This reflects bone marrow failure to produce adequate platelets, making it a critical finding for nurses to note during assessment. Abdominal pain might occur from organ enlargement (e.g., splenomegaly), but it's less specific and not a primary complaint here. Increased activity level and appetite contradict leukemia's typical fatigue and anorexia due to metabolic demands of proliferating cells and anemia. Recognizing petechiae prompts urgent blood work and referral, aligning with nursing's role in early detection of pediatric leukemia, ensuring timely intervention to manage this life-threatening condition effectively.
All of the following are broad categories of dietary approaches EXCEPT:
- A. Energy-focused
- B. Macronutrient-focused
- C. Reward-focused
- D. Dietary timing-focused
Correct Answer: C
Rationale: Diets calories, macros, patterns, timing rule; reward's brain, not plate. Nurses map this chronic food frame, skipping psyche.
Which of the following is NOT an example of intermittent fasting?
- A. Alternate day fasting
- B. Very low calorie diet
- C. Time restricted feeding
- D. Religious fasting
Correct Answer: B
Rationale: Intermittent fasting flips eating windows alternate days, time limits, 5:2, and religious fasts fit, cycling feast and famine. Very low calorie diets slash intake daily, not intermittently, a steady cut, not a fast. Clinicians spot this outlier, shaping obesity's chronic rhythm, a key distinction in diet's dance.
A patient on the oncology unit is receiving carmustine, a chemotherapy agent, and the nurse is aware that a significant side effect of this medication is thrombocytopenia. Which symptom should the nurse assess for in patients at risk for thrombocytopenia?
- A. Interrupted sleep pattern
- B. Hot flashes
- C. Epistaxis (nose bleed)
- D. Increased weight
Correct Answer: C
Rationale: Carmustine, a nitrosourea, slams bone marrow, dropping platelets and causing thrombocytopenia low counts mean bleeding risks soar. Epistaxis (nosebleeds) is a classic sign, as mucosal vessels lack clotting support, especially with counts below 50,000/µL. Sleep issues might tie to discomfort but aren't direct. Hot flashes link to hormonal therapies, not this. Weight gain's unrelated cancer often causes loss. Nurses zero in on bleeding like epistaxis, bruising, or petechiae checking daily for these red flags, vital in oncology to catch and manage this life-threatening chemo fallout early.