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?

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."

"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.

the branch of biology that deals with the normal functions of living organisms and their parts.

the way in which a living organism or bodily part functions.

the earth’s crust is broken into separate pieces called tectonic plates (fig. 7.14). recall that the crust is the solid, rocky, outer shell of the planet. it is composed of two distinctly different types of material: the less-dense continental crust and the more-dense oceanic crust. both types of crust rest atop solid, upper mantle material. the upper mantle, in turn, floats on a denser layer of lower mantle that is much like thick molten tar.

each tectonic plate is free-floating and can move independently. earthquakes and volcanoes are the direct result of the movement of tectonic plates at fault lines. the term fault is used to describe the boundary between tectonic plates. most of the earthquakes and volcanoes around the pacific ocean basin—a pattern known as the “ring of fire”—are due to the movement of tectonic plates in this region. other observable results of short-term plate movement include the gradual widening of the great rift lakes in eastern africa and the rising of the himalayan mountain range. the motion of plates can be described in four general patterns:

collision: when two continental plates are shoved together

subduction: when one plate plunges beneath another (fig. 7.15)

spreading: when two plates are pushed apart (fig. 7.15)

transform faulting: when two plates slide past each other (fig. 7.15)