A patient who is receiving reperfusion therapy has a history of heparin-induced thrombosis (HIT). The patient has a creatinine clearance of 28 mL/min
In addition to the fibrinolytic agent, which medication will the nurse expect to administer to this patient? a. Aspirin
b. Bivalirudin [Angiomax]
c. Clopidogrel [Plavix]
d. Fondaparinux [Arixtra]
B
Patients receiving a fibrinolytic medication will also need an anticoagulant to reduce the risk of thrombosis. This patient cannot receive heparin because of the history of HIT, so he or she will need either bivalirudin or fondaparinux. Bivalirudin may be used at reduced doses in patients with a creatinine clearance less than 30 mL/min, but fondaparinux is contraindicated in such pa-tients. Antiplatelet drugs such as aspirin or clopidogrel are not used for this purpose.
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A client with a stroke has damage to Broca's area. What intervention to promote communication is best for this client?
a. Assess whether or not the client can write. b. Communicate using "yes-or-no" questions. c. Reinforce speech therapy exercises. d. Remind the client not to use neologisms.
A researcher wonders where, geographically, the highest incidence of home births occurs and what type of care the mothers who deliver at home have
Additional questions include how old these mothers are, whether or not they tend to be married, and what kind of complications are encountered. What type of study design would this researcher select to best answer these questions? A ___________ design: a. correlational b. descriptive c. qualitative d. quasi-experimental
A client who first experienced symptoms related to a confirmed thrombotic stroke 2 hours ago is brought to the intensive care unit. Which prescribed medication does the nurse prepare to admi-nister?
a. Tissue plasminogen activator b. Heparin sodium c. Gabapentin (Neurontin) d. Warfarin (Coumadin)
Rigorous and ongoing testing has concluded that Computer Adaptive Testing is both _____ and _____
a. reliable; valid b. difficult; tricky c. inconclusive; time-consuming d. easy; efficient