The clinic nurse is conducting an education session for clients ...

[saraeharris]

The clinic nurse is conducting an education session for clients who are taking anticoagulants. Which of the following should the nurse stress to the clients?
 
  A) They should avoid all sources of vitamin D.
  B) They should maintain a consistent intake of vitamin D.
  C) They should avoid all sources of vitamin K.
  D) They should maintain a consistent intake of vitamin K.

Question 2

A client explains that meat is still an important component of the family meals and they can't figure out how to reduce the fat if they like meat so much. Which of the following suggestions should the nurse make? (Select all that apply.)
 
  1. Broil meat
   2. Remove skin from poultry
   3. Eat smaller portions
   4. Avoid gravies
   5. Reduce total calories per day

[DHRUVSHAH]

Answer to Question 1

D
Feedback:
Anticoagulants interfere with hepatic synthesis of vitamin Kdependent clotting factors. Clients should try to maintain a consistent intake so that the effect on coagulation time is as constant and predictable as possible.

Answer to Question 2

1, Broil meat; 2, Remove skin from poultry; 3, Eat smaller portions; 4, Avoid gravies
Rationale: Meat can be part of a healthy diet. Broiling meat, rather than frying, can reduce the amount of fat. Skin contains a lot of the fat so the skin should be removed from poultry. Other meats should have the fat trimmed before preparation. A serving that is about the size of a deck of cards or the palm of the hand, 34 ounces, is considered a serving of meat. Many people eat more than that as a portion size. Gravies are made from meat drippings which contain fat. They should be avoided unless they can be made without meat drippings. Calorie reduction does not address fat intake, only total energy intake. People who like meat do not necessarily need to reduce caloric intake.