A client is hospitalized with a second episode of pulmonary embolism (PE).Recent genetic testing reveals the client has an alteration in the gene CYP2C19.What action by the nurse is best?

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Often clients are discharged from the hospital on warfarin (Coumadin)after a PE.However,clients with a variation in the CYP2C19 gene do not metabolize warfarin well and have higher blood levels and more side effects.This client is a poor candidate for warfarin therapy,and the prescriber will most likely order an IVC filter device to be implanted.The nurse should prepare to do preoperative teaching on this procedure.It would be impossible to eliminate all vitamin K from the diet.A chronic illness support group may be needed,but this is not the best intervention as it is not as specific to the client as the IVC filter.A soft-bristled toothbrush is a safety measure for clients on anticoagulation therapy.

A Client Is Hospitalized with a Second Episode of Pulmonary