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mayra1984 mayra1984
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6 years ago
The nurse is caring for an 80-year-old patient who is taking warfarin (Coumadin). Which action does the nurse understand is important when caring for this patient?
 
  a. Encouraging the patient to rise slowly from a sitting position
  b. Initiating a fall-risk protocol
  c. Maintaining strict intake and output measures
  d. Monitoring blood pressure frequently
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6 years ago
ANS: B
Patients who take anticoagulants have an increased risk of hemorrhage. Older patients have an increased risk of falls that can lead to bleeding complications. Initiating a fall-risk protocol is important. Warfarin does not affect blood pressure and would not cause orthostatic hypotension. Warfarin does not alter urine output.
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