# A nurse is caring for a client prescribed Warfarin. Which nursing action is most appropriate regarding monitoring INR levels and maintaining consistent dietary vitamin K intake?

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> language: zh-TW  
> subject: NCLEX-RN  
> category: PPT

## 題目

A nurse is caring for a client prescribed Warfarin. Which nursing action is most appropriate regarding monitoring INR levels and maintaining consistent dietary vitamin K intake?

## 選項

1. Monitor vital signs and assess laboratory values prior to administration.
2. Administer the medication with a full glass of water every morning.
3. Instruct the client to report any unexpected side effects immediately.
4. Verify the prescription details with the healthcare provider. **✔ 正確答案**

**正確答案: 4**

## 解析

When administering Warfarin, key nursing considerations include monitoring patient status, checking critical laboratory values, and providing appropriate safety education. Unsafe practices such as stopping medications abruptly or doubling missed doses are incorrect.

## 深入解析

1. Scenario: Patient taking Lithium.
2. Recognize Cues: Evaluate 혈중 수치 0.6~1.2 mEq/L 모니터링 및 수분/나트륨 유지.
3. Take Action: Ensure safe administration protocols.
4. Evaluate: Re-assess therapeutic response.

## 重要概念

- **Lithium (리튬)** — 조울증 치료제로 탈수나 나트륨 고갈 시 독성 위험이 높아지므로 적절한 수분 섭취가 필요해요.

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