client taking an anticoagulant. This is especially true of aspirin and aspirin-containing products
(because of the potential for bleeding). The other options are correct statements. Strenuous
games (e.g., contact sports) that may result in bruising and skin breakdown should be avoided.
Electric shavers are less irritating to the skin than razors and less likely to cause skin breakdown.
Medication alert tags are recommended in case of emergency. The client should also be taught to
carry an identification card listing all medications currently being taken.
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°
Test-Taking Strategy:
Use the process of elimination, noting the strategic words
“further teaching is necessary,” which indicate a negative event query and the need to select the
incorrect client statement. Recalling that warfarin sodium (Coumadin) is an anticoagulant and
that anticoagulants can cause bleeding will direct you to the correct option. If you had difficulty
with this question, review the teaching points for clients on anticoagulants.
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Level of Cognitive Ability:
Evaluating
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°
Client Needs:
Physiological Integrity
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Integrated Process:
Teaching and Learning
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Content Area:
Pharmacology
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Reference:
Lehne, R. (2010).
Pharmacology for nursing care
(7th ed., p. 618). St.
Louis: Saunders.
Awarded 1.0 points out of 1.0 possible points.
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99.
ID: 8482578723
A client is taking a folic acid supplement (Folate). Which of
the following laboratory parameters does the nurse use to evaluate the effectiveness of this
therapy?
Select all that apply.
Magnesium
Hemoglobin
Correct
Blood glucose
Hematocrit
Correct
Alkaline phosphatase
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Rationale:
Folic acid, necessary for red blood cell production, is classified as a
vitamin and as an antianemic agent. Both hematocrit and hemoglobin are appropriate parameters
by which to assess the blood count. The nurse can gauge the effectiveness of therapy by
monitoring the results of periodic complete blood counts, in particular the hematocrit.
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°
Test-Taking Strategy:
To answer this question accurately, it is necessary to know
that folic acid is a vitamin that may be prescribed as a supplement to treat anemia. From this
point, you should be able to eliminate the incorrect options. If you are not familiar with effects of
folic acid on the body, review this content.
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Level of Cognitive Ability:
Evaluating
°
°
Client Needs:
Physiological Integrity
°
°
Integrated Process:
Nursing Process/Evaluation
°
°
Content Area:
Pharmacology
°
°
Reference:
Lehne, R. (2010).
Pharmacology for nursing care
(7th ed., p. 644). St.
Louis: Saunders.
Awarded 1.0 points out of 2.0 possible points.
