Question

A patients low prothrombin time (PT) was attributed to a vitamin K deficiency and the patients PT

normalized after administration of vitamin K. When performing discharge education in an effort to
prevent recurrence, what should the nurse emphasize?
A) The need for adequate nutrition
B) The need to avoid NSAIDs
C) The need for constant access to factor concentrate
D) The need for meticulous hygiene

Answer 1

The nurse should emphasize the need for adequate nutrition to maintain an appropriate level of vitamin K, which is crucial for blood clotting. A balanced diet with vitamin K-rich foods can prevent deficiency and support overall health.

Step-by-step explanation:

When educating a patient being discharged after normalization of prothrombin time (PT) due to treatment for vitamin K deficiency, the nurse should emphasize the requirement for adequate nutrition. Vitamin K is essential for the synthesis of clotting factors, which are necessary for normal blood coagulation. It is chiefly acquired through diet and is also synthesized by gut bacteria. Ensuring a sufficient intake of vitamin K through a balanced diet that includes green leafy vegetables, dairy products, meat, and fermented foods can help maintain normal clotting function and prevent recurrence of deficiency-related coagulation issues.

It is important to highlight that patients who are on anticoagulant therapy, such as Coumadin (warfarin), need to maintain consistent vitamin K intake as fluctuations can alter the effectiveness of the medication and may require monitoring and dosage adjustments facilitated by healthcare professionals.