The nurse is caring for a postoperative patient. The nurse will anticipate administering which medication to this patient to help prevent thrombus formation caused by slow venous blood flow?
a. Alteplase (Activase)
b. Aspirin
c. Clopidogrel (Plavix)
d. Low–molecular-weight heparin
ANS: D
Low–molecular-weight heparin is an anticoagulant, which is used to inhibit clot formation and is used prophylactically to prevent postoperative deep vein thrombosis. Alteplase is a thrombolytic, which is used to break down clots after they form; alteplase is contraindicated in any patient with recent surgery. Aspirin and clopidogrel are antiplatelet drugs and are used to prevent arterial thrombosis.
You might also like to view...
A college student has been invited to be the best man at the wedding of a college friend who lives
across the country. The wedding is in 6 weeks. He must travel by plane but is afraid of flying. A nurse suggests seeing a therapist. What type of therapy would the nurse be most likely to recommend? a. Psychoanalysis b. Milieu therapy c. Systematic desensitization d. Short-term dynamic therapy
Which tests indicates that the heparin therapy for the client at risk for thrombosis is ade-quate?
A. Bleeding time of 4 minutes B. Increased platelet aggregation C. Decreased total iron-binding capacity (TIBC) D. Partial thromboplastin time (PTT) twice the normal value
A nurse is planning preoperative teaching for a child scheduled to have a tonsillectomy. The child has a history of attention deficit hyperactivity disorder (ADHD). The nurse uses which of the following teaching techniques with this child?
1. Give instructions verbally and use a picture pamphlet, repeating points more than once 2. Ask other children who have had this procedure to talk to the child 3. Allow the child to lead the session to gain a sense of control 4. Play a television show in the background
The client with cirrhosis is at risk for GI bleeding related to all of the following pathological changes except:
a. increased pressure within the portal circulation. b. weakening of the blood vessels. c. prolonged prothrombin time. d. development of ascites.