A client taking warfarin (Coumadin) should be instructed to avoid ...

[schs14]

A client taking warfarin (Coumadin) should be instructed to avoid herbal supplements such as green tea, ginkgo, feverfew, garlic, cranberry, chamomile, and ginger. The client asks the nurse why these items should be avoided. The nurse bases her response on what knowledge?
 
  1. These items increase the risk of bleeding.
  2. These items cause severe hypotension.
  3. These items decrease the effect of the warfarin (Coumadin).
  4. These items cause severe headache.

Question 2

The nurse caring for a client receiving heparin (Hep-Lock) monitors the patient for what serious complication that occurs in up to 30 of patients taking the drug?
 
  1. Tachycardia
  2. Hypotension
  3. Angioedema
  4. Heparin-induced thrombocytopenia (HIT)

[Melissahxx]

Answer to Question 1

1

Rationale 1: Use of warfarin with herbal supplements such as green tea, ginkgo, feverfew, garlic, cranberry, chamomile, and ginger could increase the risk of bleeding.
Rationale 2:The items cause severe hypotension is incorrect. Herbal supplements can increase the risk of bleeding.
Rationale 3:These items decrease the effect of the warfarin (Coumadin) is incorrect. Herbal supplements can increase the risk of bleeding.
Rationale 4:These items cause severe headache is incorrect. Herbal supplements can increase the risk of bleeding.

Global Rationale: Use of warfarin with herbal supplements such as green tea, ginkgo, feverfew, garlic, cranberry, chamomile, and ginger could increase the risk of bleeding. Severe hypotension and headaches are not associated with warfarin. Herbal supplements do not decrease the effect of warfarin.

Answer to Question 2

4

Rationale 1: Tachycardia is not a side effect of heparin.
Rationale 2:Hypotension is not a side effect of heparin.
Rationale 3: Angioedema is not a side effect of heparin.
Rationale 4: Heparin-induced thrombocytopenia (HIT) is a serious complication that occurs in up to 30 of patients taking the drug.

Global Rationale: Heparin-induced thrombocytopenia (HIT) is a serious complication that occurs in up to 30 of patients taking the drug. The patient may experience serious and even life-threatening thrombosis. Abnormal bleeding is common during heparin therapy. Tachycardia, hypotension, and angioedema are not side effects of heparin.

[schs14]

Thank you!

[Melissahxx]

Always glad to help...