The nurse is preparing a client with a history of atrial fibrillation for discharge. Which statement by the client indicates that he understood the nurse's teaching regarding warfarin (Coumadin)?

Correct Answer: B

Rationale: Reporting bruising indicates understanding of warfarin's anticoagulant effect, as excessive bleeding is a key risk in atrial fibrillation management, requiring physician oversight reflecting proper teaching. Spinach (high vitamin K) counters warfarin, blood tests (INR) are routine, and dosing is daily, not weekly. Nurses reinforce this vigilance, ensuring clients monitor for bleeding to balance clot prevention with safety.

Correct Answer: A

Rationale: Checking uterine firmness post-abruptio placenta delivery prevents postpartum hemorrhage, a priority Apgar, IV, and oxygen follow maternal stabilization. Nurses massage the fundus, monitoring bleeding, critical for maternal survival in this obstetric emergency.

Correct Answer: A

Rationale: Prostigmin (neostigmine), a cholinesterase inhibitor, treats myasthenia gravis by enhancing neuromuscular transmission atropine counters side effects, Didronel is for bones, and Tensilon is diagnostic. Nurses administer it, monitoring for cholinergic crisis, key for symptom relief.

Correct Answer: D

Rationale: Inserting a finger between cast and skin checks circulation, preventing neurovascular issues in a new long leg cast dependent position increases swelling, warmth checks are vague, and ice atop is ineffective. Nurses monitor fit, teaching elevation, ensuring healing without complications.