Which statements should the nurse include in the teaching for a client prescribed warfarin (Coumadin) therapy? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

Question

Quizplus · Accepted Answer

A) It is important for the client to inform all healthcare providers, including dentists, that they are taking warfarin. This is because some procedures may cause bleeding and the client may need to adjust their dosage beforehand.
C) Strenuous activities can increase the risk of bleeding, so it is important to avoid them while taking warfarin. The client should still engage in moderate exercise, but they should consult their healthcare provider about what types are safe for them. 
B) Testing of aPTT is not necessary for monitoring warfarin therapy. The international normalized ratio (INR) test is the standard lab test used to monitor the effectiveness of warfarin therapy. 
D) Placing ice at the injection site if stinging or burning occurs is not a recommended intervention for warfarin therapy. If the injection site is painful or appears inflamed, the client should contact their healthcare provider. 
E) NSAIDs can increase the risk of bleeding when taken with warfarin, and therefore they should be avoided. The client should talk to their healthcare provider about other options for pain management.

Which Statements Should the Nurse Include in the Teaching for a Client