A client is receiving rivaroxaban (Xarelto) and asks the nurse to explain how it works. What response by the nurse is best?
a. "It inhibits thrombin."
b. "It inhibits fibrinogen."
c. "It thins your blood."
d. "It works against vitamin K."
ANS: A
Rivaroxaban is a direct thrombin inhibitor. It does not work on fibrinogen or vitamin K. It is not a "blood thinner," although many clients call anticoagulants by this name.
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On the patient's return to the medical-surgical unit, the nurse performs an abdominal assessment. To assess bowel sounds, the nurse auscultates the lower abdomen for
a. 1 minute. b. 5 to 20 seconds. c. as long as it takes to hear a bowel sound. d. one full inspiration and expiration.
The nurse explains that afferent pathways are activated by pain receptors called ____________________
Fill in the blank(s) with correct word
A hospital has a number of different perineal pads available for use. A nurse is observed soaking several of them and writing down what she sees. This activity indicates that the nurse is trying to:
a. Improve the accuracy of blood loss estimation, which usually is a subjective as-sessment. b. Determine which pad is best. c. Demonstrate that other nurses usually underestimate blood loss. d. Reveal to the nurse supervisor that one of them needs some time off.
When assessing the pulse of a client, the nurse will include which characteristics?
1. Rate. 2. Rhythm. 3. Volume. 4. Tone. 5. Viscosity.