Author Question: A client is being discharged soon on warfarin (Coumadin). What menu selection for dinner indicates ... (Read 119 times)

craiczarry · **on:** Jun 25, 2018

A client is being discharged soon on warfarin (Coumadin). What menu selection for dinner indicates the client needs more education regarding this medication?

a. Hamburger and French fries
b. Large chef's salad and muffin
c. No selection; spouse brings pizza
d. Tuna salad sandwich and chips

Question 2

A client has been brought to the emergency department with a life-threatening chest injury. What action by the nurse takes priority?

a. Apply oxygen at 100.
b. Assess the respiratory rate.
c. Ensure a patent airway.
d. Start two large-bore IV lines.

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

Answer to Question 1

ANS: B
Warfarin works by inhibiting the synthesis of vitamin K-dependent clotting factors. Foods high in vitamin K thus interfere with its action and need to be eaten in moderate, consistent amounts. The chef's salad most likely has too many leafy green vegetables, which contain high amounts of vitamin K. The other selections, while not particularly healthy, will not interfere with the medication's mechanism of action.

Answer to Question 2

ANS: C
The priority for any chest trauma client is airway, breathing, circulation. The nurse first ensures the client has a patent airway. Assessing respiratory rate and applying oxygen are next, followed by inserting IVs.