Questions: NPN 101 - Start Date: 08/01/2024 - End Date: 12/12/2025 NPN 112 Exam 7 Review Quizzing: Assignment Question 75 of 78 The nurse interviews a patient who recently began warfarin therapy for the treatment of pulmonary emboli. The patient states, "I have noticed that my gums bleed when I brush my teeth." Which is the priority action for the nurse? Ask if the patient has a history of gum disease. Inquire if the patient uses a regular toothbrush or an electric toothbrush. Ask if the patient takes over-the-counter medication for headaches or muscles aches Inquire if the patient has consumed crunchy foods, which can cause gum irritation

The answer is the third one: Ask if the patient takes over-the-counter medication for headaches or muscle aches.

Explanation for each option:

1. Ask if the patient has a history of gum disease:

   • This is a relevant question, as a history of gum disease could contribute to bleeding gums. However, it is not the priority action in this context. The priority is to assess factors that could interact with warfarin therapy and increase bleeding risk.

2. Inquire if the patient uses a regular toothbrush or an electric toothbrush:

   • This is also a relevant question because using a hard-bristled toothbrush or brushing too vigorously can cause gum bleeding. However, it is not the most critical concern when a patient is on warfarin therapy.

3. Ask if the patient takes over-the-counter medication for headaches or muscle aches:

   • This is the priority action. Over-the-counter medications, especially nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen, can increase the risk of bleeding when taken with warfarin. It is crucial to identify any potential drug interactions that could exacerbate bleeding.

4. Inquire if the patient has consumed crunchy foods, which can cause gum irritation:

   • While crunchy foods can cause gum irritation and bleeding, this is less likely to be the primary concern compared to potential drug interactions with warfarin.

Summary: The priority action for the nurse is to ask if the patient takes over-the-counter medication for headaches or muscle aches, as these medications can interact with warfarin and increase the risk of bleeding.