Author Question: The nurse has provided instruction to a patient recently prescribed warfarin (Coumadin). Which ... (Read 67 times)

sdfghj · **on:** Jul 24, 2018

The nurse has provided instruction to a patient recently prescribed warfarin (Coumadin). Which statement by the patient indicates to the nurse the need for further teaching?

a. I will always wear a medical alert bracelet.
b. I will check with my health care provider before I take any OTC medications.
c. I will be careful when I use a knife or other sharp objects.
d. I will rinse my mouth with mouthwash instead of brushing my teeth.

Question 2

What is the mechanism of action of drugs used to treat thromboembolic disease?

a. Dissolving clots and preventing formation of new clots
b. Making platelets more flexible and preventing formation of new clots
c. Causing vasodilation and increased blood flow
d. Preventing platelet aggregation and inhibiting clot formation

joshbk44 · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: D
Soft-bristled toothbrushes are acceptable to use for oral care. Medical alert bracelets should always be worn. The health care provider needs to be consulted prior to taking any OTC medications. Caution must be used when cutting with knives or using any sharp objects.

Answer to Question 2

ANS: D
The pharmacologic agents used to treat thromboembolic disease act to prevent platelet aggregation or to inhibit a variety of steps in the fibrin clot formation cascade. Thromboembolic medications do not dissolve clots, make platelets more flexible, or cause vasodilation.