Author Question: K.N. grumbles about all of the laboratory tests but agrees to follow through. You provide patient ... (Read 186 times)

nummyann · **on:** Jun 25, 2018

K.N. grumbles about all of the laboratory tests but agrees to follow through. You provide patient education to K.N. and start with reviewing the signs and symptoms (S/S) of bleeding.

What are potential S/S of bleeding that should be taught to K.N.? (Select all that apply.)
a. Black, tarry stool
b. Stool that is pale in color
c. New onset of dizziness
d. Insomnia
e. New joint pain or swelling
f. Unexplained abdominal pain

Question 2

K.N.'s INR the next day is 3.7, and the health care provider makes no further medication changes. K.N. is instructed to return again in 7 days to have another PT/INR drawn.

Why should the INR be checked again so soon instead of the usual monthly follow-up?

morrie123456 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answers: a, c, e, f
S/S of bleeding include:
New joint pain or swelling
New dizziness, lightheadedness, unexplained abdominal pain
Nosebleeds or unexplained bleeding of any kind
Coughing or spitting blood
Blood in the stool; black, tarry stool; blood in the toilet water
Pink, brown, or red-tinged urine
Cuts that won't stop bleeding
Unexplained bruising and excessive bruising
Prolonged menstrual bleeding for premenopausal women

Answer to Question 2

To be certain his INR level has stabilized (within the desired range) and to monitor for any
complications. Because the coagulation effect of vitamin K lasts for 1 week, he will not respond
normally to warfarin for approximately 1 week after taking vitamin K.