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NCLEX Question of the Day
Review the question, check the correct answer, and read the rationale before tomorrow's prompt arrives.
A patient with a history of deep vein thrombosis (DVT) is prescribed warfarin therapy. What is an important nursing action to reduce the risk of bleeding in this patient?
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Telling the patient to ignore minor bleeding as it is a common side effect.
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Correct answer Educating the patient about the importance of regular INR monitoring and avoiding over-the-counter medications that may increase bleeding risk.
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Advising the patient to stop taking warfarin if they notice any bleeding.
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Recommending a high-dose vitamin K supplement to prevent bleeding.
Rationale
Regular INR monitoring is essential to ensure warfarin is at a therapeutic level to prevent clotting without increasing the risk of bleeding. Educating the patient on avoiding certain over-the-counter medications that could enhance bleeding risk is vital. Stopping warfarin abruptly, recommending high-dose vitamin K, or ignoring bleeding are not safe practices and could jeopardize the patient's health.
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