Shadow Health Questions and Answers Latest 2022

A patient has been given a new prescription for warfarin. Which statement indicates the need for additional teaching? - I will use a soft toothbrush while taking this medication - I can eat moderate amounts of foods with vitamin K on a regular basis - I should report unusual bleeding to my doctor - I can keep taking a daily aspirin to protect against heart disease (Correct Response) Correct Answer- - I can keep taking a daily aspirin to protect against heart disease Aspirin increases the effect of warfarin and may cause a higher risk of bleeding; the patient should not take aspirin while on warfarin therapy. All other statements are consistent with safe use of warfarin. What is the nurse's priority assessment for a patient receiving heparin treatment? - Assess for elevated liver enzymes - Assess for inflammation at the injection site - Assess for bruising or unusual bleeding - Assess aPTT levels Correct Answer- - Assess for bruising or unusual bleeding While all options are relevant assessments, bruising or unusual bleeding can be a life threatening adverse effect of heparin treatment, and therefore needs to be the nurse's priority. A patient who has been receiving oxycodone therapy for chronic pain reports no relief after a 10mg dose. The patient is exhibiting: - Opioid addiction - Opioid tolerance - Drug-seeking behaviour - Paradoxical CNS stimulation Correct Answer- - Opioid tolerance Prolonged use of opioid therapy can lead to tolerance, where a patient requires a higher dose of the drug to achieve an analgesic effect. Which meal choice exhibits a lack of understanding of atorvastatin's drug-food interactions? - Orange juice, banana, and toast - Grapefruit juice and yogurt - Orange juice, bacon, and eggs - Coffee and croissant Correct Answer- - Grapefruit juice and yogurt