Direct oral anticoagulants (DOACs)
Direct oral anticoagulants (DOACs) ( 5 Questions)
A nurse is caring for a client who is receiving direct oral anticoagulants (DOACs). The client reports experiencing dizziness and lightheadedness when standing up quickly. Which of the following statements by the client requires further assessment by the nurse?
Choice A is wrong because taking the medication as prescribed is expected and does not indicate any problem with DOACs.
This statement by the client requires further assessment by the nurse because diarrhea can cause dehydration and electrolyte imbalance, which can affect the renal function and the clearance of direct oral anticoagulants (DOACs). Renal impairment can increase the risk of bleeding and adverse effects of DOACs. The nurse should monitor the client’s fluid intake and output, serum creatinine, electrolytes, and signs of bleeding. The nurse should also advise the client to report any persistent or severe diarrhea to their prescriber.
Choice C is wrong because over-the-counter antacids are generally safe to use with DOACs and do not affect their efficacy or safety. However, the nurse should educate the client about potential drug interactions with other over-the-counter or herbal products and encourage them to consult their prescriber before taking any new medications.
Choice D is wrong because eating green leafy vegetables does not affect the anticoagulant effect of DOACs, unlike warfarin, which is influenced by dietary vitamin K intake. The nurse should encourage the client to eat a balanced diet and maintain a consistent intake of vitamin K-rich foods.
This statement by the client requires further assessment by the nurse because diarrhea can cause dehydration and electrolyte imbalance, which can affect the renal function and the clearance of direct oral anticoagulants (DOACs). Renal impairment can increase the risk of bleeding and adverse effects of DOACs. The nurse should monitor the client’s fluid intake and output, serum creatinine, electrolytes, and signs of bleeding. The nurse should also advise the client to report any persistent or severe diarrhea to their prescriber.
Choice A is wrong because taking the medication as prescribed is expected and does not indicate any problem with DOACs.
Choice C is wrong because over-the-counter antacids are generally safe to use with DOACs and do not affect their efficacy or safety.
However, the nurse should educate the client about potential drug interactions with other over-the-counter or herbal products and encourage them to consult their prescriber before taking any new medications.
Choice D is wrong because eating green leafy vegetables does not affect the anticoagulant effect of DOACs, unlike warfarin, which is influenced by dietary vitamin K intake.
The nurse should encourage the client to eat a balanced diet and maintain a consistent intake of vitamin K-rich foods.