A Patient Who Has Atrial Fibrillation (AF)has Been Taking Warfarin

question 4

Multiple Choice

A patient who has atrial fibrillation (AF) has been taking warfarin (Coumadin) .The primary care nurse practitioner (NP) plans to change the patient's medication to dabigatran (Pradaxa) .To do this safely,the NP should:

• A) initiate dabigatran when the patient's international normalized ratio (INR) is less than 2.
• B) start dabigatran 7 to 14 days after discontinuing warfarin.
• C) begin giving dabigatran 1 week before discontinuing warfarin.
• D) order frequent monitoring of the patient's INR after dabigatran therapy begins.

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Definitions:

Agricultural

Relating to the science or practice of farming, including cultivation of the soil for the growing of crops and the rearing of animals to provide food, wool, and other products.

Food, Conservation, and Energy Act

A comprehensive farm bill passed by the U.S. Congress in 2008 that aimed to provide funding for agricultural programs, renewable energy, conservation, and food assistance.

Farm Subsidies

Financial aid and support provided by the government to farmers and agribusinesses to supplement their income and manage the supply of agricultural commodities.

Direct Payments

Payments made directly by the government to farmers, individuals, or businesses not requiring the provision of goods or services in return.