A client receiving warfarin (Coumadin) therapy is also using the ...

[dollx]

A client receiving warfarin (Coumadin) therapy is also using the herb feverfew. For what does the nurse assesses?
 
  1. Renal dysfunction
  2. Increased coagulation
  3. Liver toxicity
  4. Increased bleeding potential

Question 2

A client is admitted with abnormal liver enzymes. Included in the client's medication list are amiodarone and echinacea. Which nursing action takes the highest priority?
 
  1. Prepare the client for a liver biopsy
  2. Document the findings
  3. Notify the health care provider
  4. Palpate for hepatomegaly

[xoxo123]

Answer to Question 1

Correct Answer: 4
Rationale 1: The combination of Coumadin and feverfew does not cause renal dysfunction.
Rationale 2: The combination of Coumadin and feverfew does not cause increased coagulation.
Rationale 3: The combination of Coumadin and feverfew does not cause liver toxicity.
Rationale 4: Feverfew interacts with aspirin, heparin, NSAIDs, and warfarin and can cause increased bleeding.
Global Rationale: Feverfew interacts with aspirin, heparin, NSAIDs, and warfarin and can cause increased bleeding. The combination of Coumadin and feverfew does not cause renal dysfunction, increase coagulation, or cause liver toxicity.

Answer to Question 2

Correct Answer: 3
Rationale 1: The client might not need a liver biopsy.
Rationale 2: The findings need to be documented, but another action is of higher priority.
Rationale 3: The combination of amiodarone and echinacea can cause severe hepatotoxicity. The most appropriate action for the nurse would be to notify the health care provider so that appropriate assessment and treatment can be initiated.
Rationale 4: Palpating for hepatomegaly could be done but is not the most appropriate nursing action.
Global Rationale: The combination of amiodarone and echinacea can cause severe hepatotoxicity. The most appropriate action for the nurse would be to notify the health care provider so that appropriate assessment and treatment can be initiated. The client might not need a liver biopsy. The findings need to be documented, but another action is of higher priority. Palpating for hepatomegaly could be done but is not the most appropriate nursing action.

[dollx]

Both answers were spot on, thank you once again

[xoxo123]

Great! Please up vote