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1. Question
A client is being discharged on Coumadin after hospitalization for a deep vein thrombosis. The nurse recognizes that which food would be restricted while the client is on this medication?
Correct
Answer A is correct.
Rationale: Vitamin K decreases the effects of Coumadin. The client should be taught to avoid green, leafy vegetables, such as broccoli, cabbage, turnip greens, and lettuce. Answers B, C, and D are food choices that are low in vitamin K, so they are incorrect.
Incorrect
Answer A is correct.
Rationale: Vitamin K decreases the effects of Coumadin. The client should be taught to avoid green, leafy vegetables, such as broccoli, cabbage, turnip greens, and lettuce. Answers B, C, and D are food choices that are low in vitamin K, so they are incorrect.
Uses of Warfarin (Coumadin):
Treatment of patients with atrial fibrillation, artificial heart valves, or valvular damage that makes patient susceptible to thrombus and embolus formation; prevention and treatment of venous thrombosis, pulmonary embolus, embolus with atrial fibrillation, systemic emboli after myocardial infarction.
Dosage Guide:
10–15 mg/d PO, then 2–10 mg/d PO based on PT ratio or INR; use lower doses with geriatric patients.