A client taking warfarin is preparing for discharge. Which statements show correct understanding? Select exactly 3 responses.
Select All That Apply
Choose your responses, then check the answer.
Explanation
Correct selections are 1, 2, and 4. Warfarin requires regular INR monitoring and consistent dosing. Prescription drugs, over-the-counter drugs, vitamins, and herbal products can alter anticoagulation and should be reviewed before use. A fall or head injury and signs of bleeding such as black stool or pink urine require prompt advice. The client should not double a missed dose, self-stop warfarin, or use ibuprofen without clinician guidance.
Clinical reasoning Warfarin has a narrow therapeutic range and many drug interactions. Bleeding can be occult, and head trauma can cause dangerous bleeding even before symptoms are obvious.
Decision rule Take warfarin consistently, keep INR checks, review every new medicine or supplement, and report trauma or bleeding promptly. Never double or stop doses independently.