Final answer:
Statements by the patient such as being unable to cook, planning to use a toothbrush with firm bristles, and scheduling regular B12 injections should be flagged by the nurse as indicating a need for further instruction in anticoagulant therapy management.
Step-by-step explanation:
The questions here involve understanding anticoagulant therapy and its implications on lifestyle choices. When assessing the statements made by the patient, the nurse should look for signs that the patient understands the precautions that must be taken when on anticoagulation medication.
- "I'll ask for an electric razor for my birthday next week." - This is a good practice as it reduces the risk of cuts and bleeding.
- "I guess my trip to the amusement park is off for now." - While this statement could be related to avoiding situations where injury risk is increased, it is vague and requires clarification.
- "I won't be able to cook anymore." - This statement is inaccurate, as patients on anticoagulants can certainly cook; they just need to be cautious about cutting themselves.
- "I'll get one of those new electric toothbrushes with the firm bristles." - This could increase the risk of gum bleeding, so a toothbrush with soft bristles would be recommended instead.
- "I should make an appointment for a B12 injection monthly." - While not directly related to anticoagulant therapy, such appointments should be discussed with a healthcare provider, as they may or may not be necessary.
The nurse would need to provide further instruction for statements 3, 4, and 5 to ensure thorough understanding of anticoagulant therapy management by the patient.