The physician prescribes a newer antithrombin medication that is given subcutaneously 15 minutes prior to hip replacement surgery for prophylaxis of DVT. Which medication does the nurse anticipate administering to this client?
1. Argatroban (Acova)
2. Lepirudin (Refludan)
3. Desirudin (Iprivask)
4. Bivalirudin (Angiomax)
Correct Answer: 3
Rationale 1: Argatroban (Acova) is incorrect because argatroban and lepirudin are indicated for prevention or treatment of low platelet counts induced by heparin therapy.
Rationale 2: Lepirudin (Refludan) is incorrect because argatroban and lepirudin are indicated for prevention or treatment of low platelet counts induced by heparin therapy.
Rationale 3: Desirudin (Iprivask) is a newer antithrombin medication that is given subcutaneously 15 minutes prior to hip replacement surgery for prophylaxis of DVT.
Rationale 4: Bivalirudin (Angiomax) is incorrect because bivalirudin is administered in combination with aspirin to prevent thrombi in patients undergoing angioplasty.
Global Rationale: Desirudin (Iprivask) is a newer antithrombin medication that is given subcutaneously 15 minutes prior to hip replacement surgery for prophylaxis of DVT. Argatroban (Acova) is incorrect because argatroban and lepirudin are indicated for prevention or treatment of low platelet counts induced by heparin therapy. Lepirudin (Refludan) is incorrect because argatroban and lepirudin are indicated for prevention or treatment of low platelet counts induced by heparin therapy. Bivalirudin (Angiomax) is incorrect because bivalirudin is administered in combination with aspirin to prevent thrombi in patients undergoing angioplasty.
You might also like to view...
At what age does the American Cancer Society recommend that women perform monthly breast self-examination (BSE)?
A. At menarche B. At onset of sexual activity C. Starting at age 20 D. Starting at age 35
A woman at 26 weeks of gestation is being assessed to determine if she is experiencing preterm labor. Which of the following findings indicates that preterm labor is occurring?
1. Estriol is not found in maternal saliva. 2. Irregular mild uterine contractions are occurring every 12 to 15 minutes. 3. Fetal fibronectin is present in vaginal secretions. 4. The cervix is effacing and dilated to 2 cm.
A child is diagnosed with rhabdomyosarcoma. Which nursing intervention is most appropriate for this child?
1. Position the child with the head elevated. 2. Monitor for hematuria. 3. Demonstrate the use of a conformer. 4. Administer oxygen.
Which client has pain most consistent with myocardial infarction (MI) requiring notification of the health care provider?
A. A client with abdominal pain and belching B. A client with pressure in the mid abdomen and profound diaphoresis C. A client with dyspnea on exertion (DOE) and inability to sleep flat who sleeps on four pillows D. A client with claudication and fatigue