Question

The nurse is providing teaching to a client with atrial flutter who has received a prescription for an oral anticoagulant. The client asks the nurse to provide a list of foods that are high in Vitamin K and that should be avoided. What should the nurse include on the list? (Select all that apply.)

1. Spinach

2. Oranges

3. Broccoli

4. Chicken breast

5 Sweet potatoes

Answer 1

The nurse should advise the client on anticoagulants to be cautious with their intake of foods high in vitamin K, such as spinach and broccoli, to avoid interfering with their medication. Oranges, chicken breast, and sweet potatoes are not high in vitamin K and are less of a concern.

Step-by-step explanation:

The client with atrial flutter prescribed an oral anticoagulant, such as Coumadin (warfarin), should be mindful of their vitamin K intake, as it may interfere with the medication's effectiveness. The nurse should advise the client to pay attention to their diet and avoid or maintain consistent intake of foods high in vitamin K. Foods to watch include:

• Spinach
• Broccoli
• Sweet potatoes

Other foods that are high in vitamin K and should be consumed with caution include green leafy vegetables like cabbage, cauliflower, soybean products, wheat germ, and the tops of carrots. While it is not necessary to completely avoid these foods, consistent intake in amounts normally eaten is important to avoid fluctuations in the effectiveness of anticoagulant therapy.

It's also worth noting that oranges, chicken breast, and sweet potatoes are not particularly high in vitamin K and do not necessarily need to be avoided by individuals on anticoagulants; however, maintaining a balanced diet is always recommended.