NCLEX-PN

Category - Pharmacological Therapies

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A client is ordered to take warfarin (Coumadin). The nurse should reinforce which of the following client teachings?

Increase the intake of green leafy vegetables like spinach
Use aspirin to alleviate pain
When shaving, use a razor blade
Use a soft-bristled toothbrush

Explanation

Answer: D - A client on warfarin therapy is at risk for bleeding. Use of electric razors and soft-bristled toothbrushes is reinforced to minimize the risk. Green leafy vegetables contain high concentrations of vitamin K, which may antagonize the action of the drug. Aspirin must be avoided as it further increases the risk for bleeding.

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