Raymond is a 58-year-old farmer who is admitted to the hospital after experiencing palpitations and syncope. He is diagnosed with atrial fibrillation and treated with beta-blockers and Coumadin. After five days, Raymond is discharged. Which of the following is the most important health instruction when taking this medication?
Explanation
Answer: C - An important discharge instruction for Raymond is to remind him to keep to his scheduled follow-up visit to evaluate his response to Coumadin. Tests are needed to check the drug level of Coumadin in the blood, and if dosage adjustment is needed. Options B and C are strategies to manage the common side effects of beta-blockers, which are dizziness, fainting, fatigue, and trouble sleeping. Option D is incorrect; the client only needs to avoid eating large amounts of certain green leafy vegetable because they contain Vitamin K that may interfere with the action of Coumadin.
