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The nurse is teaching a client who has just been prescribed warfarin for atrial fibrillation. Which statements by the client indicate understanding of the teaching? Select all that apply.

  1. A"I will keep the amount of green leafy vegetables I eat about the same from week to week."
  2. B"I will use an electric razor and a soft toothbrush."
  3. C"I can take ibuprofen when my knees ache."
  4. D"I will tell my dentist and other health care providers that I take warfarin."
  5. E"If I miss a dose, I will take two doses the next day."
  6. F"I will report black, tarry stools or pink or red urine."
Show answer and explanations

Answer

A, B, D, F

A: Consistent vitamin K intake supports stable warfarin effect. B: A soft brush and electric razor reduce avoidable trauma. C: Ibuprofen can increase bleeding risk and needs clinician review. D: Other clinicians need to know about anticoagulation before procedures. E: Doubling a missed dose without the prescribed guidance can cause excess anticoagulation. F: Melena and hematuria can indicate bleeding and should be reported.

A

Consistent vitamin K intake supports stable warfarin effect.

B

A soft brush and electric razor reduce avoidable trauma.

C

Ibuprofen can increase bleeding risk and needs clinician review.

D

Other clinicians need to know about anticoagulation before procedures.

E

Doubling a missed dose without the prescribed guidance can cause excess anticoagulation.

F

Melena and hematuria can indicate bleeding and should be reported.

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ID: Q30