Which of the following should the nurse include when providing dietary teaching for the patient receiving warfarin (Coumadin) therapy?

Correct Answer: A

Rationale: The nurse should include the instruction to avoid drinking large amounts of green tea when providing dietary teaching for a patient receiving warfarin (Coumadin) therapy because green tea contains vitamin K, which can interfere with the anticoagulant effects of warfarin. Maintaining consistent intake of vitamin K is important to ensure the effectiveness of warfarin therapy. Therefore, it is recommended for patients on warfarin to consume a consistent amount of vitamin K-containing foods and avoid sudden, significant changes in their intake.

Correct Answer: D

Rationale: SSRIs (e.g., fluoxetine) are first-line for depression-fewer side effects (e.g., no TCA sedation), per guidelines-versus MAOIs (diet risks), beta-blockers (HTN), or TCAs (anticholinergic). SSRIs' safety drives use.

Correct Answer: A

Rationale: Pregnancy advice is typically provided under the "Preg. Cat." section in the MIMS (Monthly Index of Medical Specialities) guide or database. This section specifically categorizes medications based on their safety profiles during pregnancy, providing healthcare professionals with essential information to make informed decisions regarding drug use in pregnant patients. It includes details on pregnancy categories that classify drugs according to their potential risks during pregnancy, guiding healthcare providers on the appropriateness of prescribing certain medications to pregnant individuals. Therefore, for pregnancy-related advice in the context of medication safety, referring to the "Preg. Cat." section in the MIMS is the most relevant source of information.

Correct Answer: A

Rationale: A. Daily weight: Monitoring daily weight is important for patients taking diuretics because changes in weight can indicate fluid retention or loss. Sudden weight gain may indicate fluid buildup, while significant weight loss may indicate excessive diuresis.

Correct Answer: B

Rationale: Penicillin is a type of antibiotic that works by inhibiting bacterial cell wall synthesis. Peptidoglycan is a critical component of the bacterial cell wall, providing structural support and preventing the cell from bursting. Penicillin specifically targets the final step in peptidoglycan synthesis, known as cross-linking, by binding to and inhibiting the enzyme transpeptidase. Without proper cross-linking of peptidoglycan, the bacterial cell wall becomes weak and compromised, leading to cell lysis and bacterial death. This mechanism makes penicillin highly effective in combating bacterial infections.