During discharge teaching with an older patient who had a mitral valve replacement with a mechanical valve,the nurse must instruct the patient on the

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Anticoagulation with warfarin (Coumadin)is needed for a patient with mechanical valves to prevent clotting on the valve. This will require frequent international normalized ratio testing. Daily aspirin use will not be effective in reducing the risk for clots on the valve. Monitoring of the radial pulse is not necessary after valve replacement. Patients should resume activities of daily living as tolerated.

During Discharge Teaching with an Older Patient Who Had a Mitral