Author Question: A client is being discharged on warfarin (Coumadin), an anticoagulant. To avoid food-drug ... (Read 139 times)

jerry coleman · **on:** Jun 25, 2018

A client is being discharged on warfarin (Coumadin), an anticoagulant. To avoid food-drug interactions, the nurse should instruct the client to restrict which of the food?

1. Dairy products
2. Whole grains
3. Citrus foods
4. Green, leafy vegetables

Question 2

While providing medication, the client states that one pill does not look the same as the medication she takes at home. What should the nurse do?

1. Tell the client that the physician ordered the drug.
2. Check with the nursing supervisor.
3. Clarify the order with the physician.
4. Give the medication to the client.

uniquea123 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: 4

1. Dairy products do not interact with warfarin (Coumadin).
2. Whole grains do not interact with warfarin (Coumadin).
3. Citrus foods do not interact with warfarin (Coumadin).
4. The vitamin K found in green, leafy vegetables can interfere with the clotting cascade and prolong bleeding time, thereby enhancing the anticoagulant effect.

Answer to Question 2

Answer: 3

1. The client is one method of ensuring safety of drug administration, and if the client questions a drug, the nurse listens.
2. The nursing supervisor is not the appropriate person to notify.
3. The nurse should contact the physician for clarification and explain the client's concern.
4. The nurse should not give the drug without clarifying with the physician.