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7.ID: 8482587626A client with atrial fibrillation has been placed on warfarin sodium (Coumadin). As part of the instructions for the medication, which of the following foods does the nurse tell the client to avoid? Select all that apply.Lettuce CorrectCherriesBroccoli CorrectCabbage CorrectPotatoesSpaghetti)Rationale:Anticoagulant medications work by antagonizing the action of vitamin K, which is needed for clotting. When a client is taking an anticoagulant, foods high in vitamin Kare often omitted from the diet. Vitamin K is found in large amounts in green leafy vegetables such as lettuce, broccoli, spinach, Brussels sprouts, cabbage, and turnip greens. The other optionsare foods that are low in vitamin K.))Test-Taking Strategy:Note the strategic word “avoid” in the query of the question.Recall that when a client is taking an anticoagulant, foods high in vitamin K are often omitted from the diet. Knowledge regarding these food items will direct you to the correct options. Review foods high in vitamin K if you had difficulty with this question.))Level of Cognitive Ability:Applying ))Client Needs:Physiological Integrity))Integrated Process:Teaching and Learning))Content Area:Nutrition))References:Ignatavicius, D., & Workman, M. (2010). Medical-surgical nursing: Patient-centered collaborative care(6th ed., p. 783). St. Louis: Saunders.)Peckenpaugh, N. (2010). Nutrition essentials and diet therapy(11th ed., pp. 89, 96). St. Louis: Saunders. Awarded 3.0 points out of 3.0 possible points. )8.ID: 8482585570A regular diet has been prescribed for a client with a leg fracture who has been placed in skeletal traction. Which foods that will promote wound healing does the nurse encourage the client to select from the hospital menu?
milk are good sources of protein. Broccoli and strawberries are good sources of vitamin C. Peanut butter is a source of niacin. Gelatin, jelly, tea, and ginger ale have no nutritional value. Pasta, rice, and bread deliver complex carbohydrates. Spare ribs may contain some protein but are high in fat.))Test-Taking Strategy:Focus on the subject, food items that promote wound healing. Eliminate pasta, garlic bread, and ginger ale first because it contains no fruits or vegetables. Review the food item presented in each option and recall that protein and vitamin C are necessary for wound healing. Review foods high in protein and vitamin C if you had difficulty with this question.))Level of Cognitive Ability:Applying))Client Needs:Physiological Integrity))Integrated Process:Nursing Process/Implementation))Content Area:Nutrition))References:Black, J., & Hawks, J. (2009). Medical-surgical nursing: Clinical management for positive outcomes(8th ed., pp. 532, 533). St. Louis: Saunders.