A client is taking warfarin (Coumadin) and asks the nurse if ...

[ss2343]

A client is taking warfarin (Coumadin) and asks the nurse if taking St. John's wort is acceptable. What response by the nurse is best?
 
  a. No, it may interfere with the warfarin.
  b. There isn't any information about that.
  c. Why would you want to take that?
  d. Yes, it is a good supplement for you.

Question 2

An older client with peripheral vascular disease (PVD) is explaining the daily foot care regimen to the family practice clinic nurse. What statement by the client may indicate a barrier to proper foot care?
 
  a. I nearly always wear comfy sweatpants and house shoes.
  b. I'm glad I get energy assistance so my house isn't so cold.
  c. My daughter makes sure I have plenty of lotion for my feet.
  d. My hands shake when I try to do things requiring coordination.

[nyrave]

Answer to Question 1

ANS: A
Many foods and drugs interfere with warfarin, St. John's wort being one of them. The nurse should advise the client against taking it. The other answers are not accurate.

Answer to Question 2

ANS: D
Clients with PVD need to pay special attention to their feet. Toenails need to be kept short and cut straight across. The client whose hands shake may cause injury when trimming toenails. The nurse should refer this client to a podiatrist. Comfy sweatpants and house shoes are generally loose and not restrictive, which is important for clients with PVD. Keeping the house at a comfortable temperature makes it less likely the client will use alternative heat sources, such as heating pads, to stay warm. The client should keep the feet moist and soft with lotion.

[ss2343]

Excellent

[cam1229]

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