The nurse is discharging a client diagnosed with atrial fib who is prescribed the anticoagulant warfarin. Which statement indicates the client needs more teaching concerning this medication?
"I will keep my lab appointments for prothrombin and INR levels."
"I will take the warfarin at the same time each day."
"I will not eat green leafy vegetables, broccoli, yogurt, or cheese."
"I will not drink alcohol unless it is all right with my primary care provider."
Answer:
"I will not eat green leafy vegetables, broccoli, yogurt, or cheese."
Explanation:
The statement which shows that the client needs more teaching is the statement which says "I will not eat green leafy vegetables, broccoli, yogurt, or cheese."
The reasons are:
1. It is correct that the client knows the significance of keeping lab appointments for PT and INR level used so as to check and control warfarin dosage.
2. It is also correct that the client understand the needs to stay away from alcohol, as it may increase the likelihood of bleeding, except otherwise approved by the primary care provider, in accordance to the quantity of intake.
3. It is also accurate that the client is aware of his needs to follow the prescription of warfarin usage, so as to maintain consistent blood levels of the drug.
4. However, the client didn't understand that, s/he needs to be taking more of food rich in vitamins K. Hence, the client needs more teaching concerning this, because the clients needs to eat more of vegetables, broccoli, yogurt and cheese, at consistent rate everyday, as they are rich in vitamins K, such that, the therapeutic level for the warfarin can be maintained.
