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    RN Comprehensive Predictor Proctored Exam (National U CA San Diego)

    A nurse is preparing a client for discharge home after an admission for bilateral pulmonary emboli. The client is prescribed warfarin in addition to regular daily medications. Which of the following actions should the nurse take?

    Explanation & Rationale

    Rationale: A. Tell the client they can continue to drink cranberry juice while taking warfarin: Cranberry juice can potentiate the effects of warfarin, increasing the risk of bleeding. Clients should be cautioned to avoid interactions that affect anticoagulation. B. Consult the pharmacist about potential interactions between the client's regular medications and warfarin: Warfarin has numerous drug and food interactions that can significantly alter its effectiveness. Consulting a pharmacist ensures safe management of concurrent medications and reduces the risk of adverse effects. C. Recommend the client take warfarin at the same time as other medications: While consistent dosing is important, the priority is verifying potential interactions with other medications rather than simply synchronizing administration times. D. Advise the client that over-the-counter medications remain safe to consume as needed: Many OTC medications, such as NSAIDs, can increase bleeding risk when taken with warfarin. Clients should always check with their provider or pharmacist before using OTC products.

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