Author Question: An older patient with atrial fibrillation is prescribed warfarin for anticoagulation. Which of the ... (Read 35 times)

tnt_battle · **on:** Jul 11, 2018

An older patient with atrial fibrillation is prescribed warfarin for anticoagulation. Which of the following should the nurse include in the teaching plan? (Select all that apply.)

a. Frequent blood testing is required to as-sure that the level of anticoagulation is in the correct range.
b. Limit dietary intake of vitamin K.
c. Increase dietary intake of vitamin D and calcium.
d. Inform the medical provider if any antibi-otics are ordered from any other provider.
e. Seek medical attention immediately if an injury is sustained.

Question 2

An older client is diagnosed with venous insufficiency of the lower extremities. The nurse ex-pects the client to display which of the following signs and symptoms? (Select all that apply.)

a. Thin, shiny dry skin
b. Reddish brown discoloration of the skin of the legs
c. Pain when the legs are elevated
d. Varicose veins
e. Legs are cool to touch

fromAlphatoOmega22 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

ANS: A, B, D, E
Frequent blood testing is required to check the level of anticoagulation. Vitamin K is an antidote to warfarin, so the patient must limit intake of vitamin K. Warfarin interacts with most antibiot-ics. Since warfarin is an anticoagulant, the patient needs to seek medical attention if an injury is sustained due to risk of bleeding. Vitamin D and calcium are unrelated to warfarin.

Answer to Question 2

ANS: B, D
A reddish brown discoloration of the lower extremities and varicose veins are present with ve-nous insufficiency. The other signs and symptoms are all associated with arterial insufficiency.