Vitamin K antagonists
Vitamin K antagonists ( 5 Questions)
A client who is taking warfarin (Coumadin) reports experiencing nosebleeds and easy bruising. Which of the following statements by the client indicates a need for further teaching?
Choice A is wrong because it is a correct statement. The patient should avoid activities that could cause injury, such as contact sports, shaving with a razor, or using sharp objects, because they could lead to bleeding complications while on warfarin (Coumadin).
This statement indicates a need for further teaching because aspirin is an antiplatelet drug that can increase the risk of bleeding when taken with warfarin (Coumadin), an anticoagulant. The patient should avoid aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs) and use acetaminophen (Tylenol) or other pain relievers that do not affect blood clotting.
Choice C is wrong because it is a correct statement. The patient should report any unusual bleeding to their healthcare provider, such as nosebleeds, easy bruising, blood in urine or stool, heavy menstrual bleeding, or bleeding gums. These could be signs of excessive anticoagulation or adverse effects of warfarin (Coumadin).
Choice D is wrong because it is a correct statement. The patient should use a soft-bristled toothbrush and floss gently to prevent gum bleeding while on warfarin (Coumadin). The patient should also avoid dental procedures without consulting their healthcare provider first.
This statement indicates a need for further teaching because aspirin is an antiplatelet drug that can increase the risk of bleeding when taken with warfarin (Coumadin), an anticoagulant. The patient should avoid aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs) and use acetaminophen (Tylenol) or other pain relievers that do not affect blood clotting.
Choice A is wrong because it is a correct statement. The patient should avoid activities that could cause injury, such as contact sports, shaving with a razor, or using sharp objects, because they could lead to bleeding complications while on warfarin (Coumadin).
Choice C is wrong because it is a correct statement. The patient should report any unusual bleeding to their healthcare provider, such as nosebleeds, easy bruising, blood in urine or stool, heavy menstrual bleeding, or bleeding gums.
These could be signs of excessive anticoagulation or adverse effects of warfarin (Coumadin).
Choice D is wrong because it is a correct statement. The patient should use a soft-bristled toothbrush and floss gently to prevent gum bleeding while on warfarin (Coumadin). The patient should also avoid dental procedures without consulting their healthcare provider first.
The normal range for INR (international normalized ratio), a test that measures how long it takes blood to clot, is 0.75-1.25 for people who are not taking warfarin (Coumadin). For people who are taking warfarin (Coumadin), the therapeutic range is usually 2-3, depending on the condition being treated. The patient’s INR level should be monitored regularly to adjust the dose of warfarin (Coumadin) and prevent bleeding or clotting complications.