The nurse is caring for a client taking warfarin. Which meal brought in by the client's family is a priority to remove before the client eats it?

Correct Answer: C

Rationale: In this scenario, the correct answer is C) Ham and cheese sandwich. The rationale behind this is related to the vitamin K content in the foods. Warfarin is a medication that works as an anticoagulant by inhibiting vitamin K-dependent clotting factors. Therefore, it is crucial for patients on warfarin therapy to maintain a consistent intake of vitamin K to ensure the medication's effectiveness. Option A) Oriental cabbage salad with chicken may contain vegetables rich in vitamin K, but it is not as significant as the ham and cheese sandwich which contains higher levels of vitamin K. Option B) Beef enchilada, rice, and beans, and option D) Macaroni salad and grapefruit slices do not contain high levels of vitamin K compared to the ham and cheese sandwich. Educationally, this question highlights the importance of understanding drug-nutrient interactions in pharmacology. Nurses need to be knowledgeable about how certain foods can impact the effectiveness of medications like warfarin, emphasizing the need for dietary consistency in patients on anticoagulant therapy.

Correct Answer: C

Rationale: In the treatment of anorexia nervosa, stopping weight loss or restoring weight is a critical priority. This helps address the immediate health risks associated with severe malnutrition and supports the client's physical well-being. Encouraging effective coping skills, restoring normal eating habits, and promoting a realistic self-image are essential aspects of treatment but may come later in the care plan once the immediate risk of severe weight loss has been addressed.

Correct Answer: D

Rationale: The correct answer is D because canned peaches are low in fiber compared to the other options provided. Option A contains high-fiber vegetables (carrots and celery), option B includes a bran muffin which is fiber-rich, and option C involves oatmeal which is also a good source of fiber. Therefore, choosing canned peaches aligns with a low-fiber diet.

Correct Answer: B

Rationale: During pregnancy, the gastrointestinal tract tends to slow down, leading to constipation. This is due to hormonal changes that relax the intestinal muscles, allowing more time for nutrient absorption and ultimately leading to constipation. Diarrhea is not typically associated with the slowing of the gastrointestinal tract during pregnancy. Decreased absorption of iron and calcium may occur during pregnancy due to increased demands, but they are not directly related to the slowing of the gastrointestinal tract.

Correct Answer: A

Rationale: The correct answer is A: Water. Water is the best choice to prevent baby bottle tooth decay as it does not cause tooth decay and is a good option for bedtime bottles. Milk (choice B) and iron-fortified formula (choice C) contain sugars that can contribute to tooth decay. Unsweetened fruit juice (choice D) also contains natural sugars that can be harmful to the baby's teeth.