The nurse evaluates teaching about warfarin (Coumadin) is ...

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The nurse evaluates teaching about warfarin (Coumadin) is successful when the patient makes what statement?
 
  A) If I miss a dose, I will take two pills the next day.
  B) I will check with the pharmacist before taking any herbal supplements.
  C) I will increase the dark-green leafy vegetables in my diet.
  D) I will take a multivitamin daily.

Question 2

The home health nurse is caring for a 72-year-old man in his home. He complains about almost daily diarrhea. The nurse assesses for what common cause of diarrhea in older adults?
 
  A) Diabetes
  B) Hypertensive medications
  C) Laxative overuse
  D) Glaucoma

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Answer to Question 1

B
Feedback:
Warfarin is involved in many drugdrug and drugherb interactions so the patients statement about checking with the doctor before starting any new drugs or supplements would be correct. The other statements made by the patient indicate the need for further teaching because he or she should not take two pills after missing a dose, there is no need to increase green leafy vegetables containing vitamin K, and multivitamin use is contraindicated.

Answer to Question 2

C
Feedback:
Diarrhea in older adults may result from laxative overuse so the nurse should assess what over-the-counter (OTC) products the patient is using. Diabetes, hypertension medications, and glaucoma are not common causes of diarrhea in patients.

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