Difficulty: Medium
Average Score: 63%
Simulated
A nurse is reinforcing teaching with a client who is to start subcutaneous heparin. Which of the following information should the nurse include in the teaching?
Correct answer
D
Rationale
The correct answer is D: Use a soft bristle toothbrush. This is because heparin is an anticoagulant medication that may increase the risk of bleeding. Using a soft bristle toothbrush can help prevent gum bleeding and oral injuries.
A: Easy bruising does not indicate effectiveness of heparin; it may actually suggest excessive anticoagulation.
B: Injecting heparin deep into the thigh muscle is incorrect; subcutaneous injection sites are usually the abdomen.
C: Black and tarry stools are not an expected side effect of heparin.
E, F, G: Not applicable as the correct answer has been provided.
A: Easy bruising does not indicate effectiveness of heparin; it may actually suggest excessive anticoagulation.
B: Injecting heparin deep into the thigh muscle is incorrect; subcutaneous injection sites are usually the abdomen.
C: Black and tarry stools are not an expected side effect of heparin.
E, F, G: Not applicable as the correct answer has been provided.