A client is being discharged from the hospital with atrial fibrillation. Which discharge teaching should the nurse discuss with the client?

Choice A reason: While monitoring blood pressure is important for overall cardiovascular health, it is not the primary concern for a patient specifically being discharged for atrial fibrillation. The main risk associated with atrial fibrillation is the formation of atrial thrombi and subsequent embolic stroke, which is managed through anticoagulation. Choice B reason: Partial Thromboplastin Time (PTT) is used to monitor the effectiveness of heparin therapy, which is typically administered intravenously in an acute care setting. For long-term outpatient management with warfarin, the nurse must teach the patient about the importance of monitoring the International Normalized Ratio (INR) and Prothrombin Time (PT). Choice C reason: Enoxaparin is often used as a "bridge" therapy until oral anticoagulants reach therapeutic levels. However, it is not the standard long-term treatment for atrial fibrillation. Teaching for discharge should focus on the primary long-term oral anticoagulant that the patient will be taking to prevent thromboembolic events. Choice D reason: Atrial fibrillation causes blood to pool in the atria, significantly increasing the risk of clot formation and stroke. Warfarin is a vitamin K antagonist commonly prescribed to reduce this risk. The nurse must prioritize teaching regarding the consistent intake of warfarin, dietary restrictions (vitamin K), and the need for regular blood monitoring.