A nurse is caring for a client prescribed warfarin. The nurse ...

[KimWrice]

A nurse is caring for a client prescribed warfarin. The nurse would instruct the client that which of the following foods are high in vitamin K?
 
  A) Dairy products
  B) Root vegetables
  C) Green leafy vegetables
  D) Fruits and cereals

Question 2

A client in a health care facility is receiving the thrombolytic drug reteplase. Which nursing diagnosis would be most likely?
 
  A) Anxiety
  B) Constipation
  C) Disturbed Sensory Perception
  D) Ineffective Tissue Perfusion

[mjbamaung]

Answer to Question 1

Ans: C
Feedback:
The nurse should inform the client that green leafy vegetables are high in vitamin K. Increased amounts of vitamin K could decrease the PT/INR and increase the risk of clot formation. Dairy products, root vegetables, fruits, and cereals are generally low in vitamin K. A diet that is very low in vitamin K may prolong the PT/INR and increase the risk of hemorrhage. The key to vitamin K management for clients receiving warfarin is maintaining a consistent daily intake of vitamin K. To avoid large fluctuations in vitamin K intake, clients receiving warfarin should be aware of the vitamin K content of food.

Answer to Question 2

Ans: A
Feedback:
The nursing diagnoses for a client receiving the thrombolytic drug reteplase should include Anxiety. Constipation, disturbed sensory perception, and ineffective tissue perfusion would be unlikely for the client receiving reteplase.

[KimWrice]

Thanks for the timely response, appreciate it

[debra928]

Excellent