A client with a newly placed prosthetic heart valve will be maintained on long-term anticoagulant therapy. Which medication does the nurse anticipate being used for this purpose?
1. Enoxaparin (Lovenox)
2. Dalteparin (Fragmin)
3. Heparin
4. Warfarin (Coumadin)
Correct Answer: 4
Rationale 1: Lovenox is used for short-term anticoagulation.
Rationale 2: Fragmin is used for short-term anticoagulation.
Rationale 3: Heparin is not used for long-term therapy.
Rationale 4: Warfarin (Coumadin) is the drug of choice for long-term anticoagulation in a client with a prosthetic heart valve.
Global Rationale: Warfarin (Coumadin) is the drug of choice for long-term anticoagulation in a client with a prosthetic heart valve. Lovenox and Fragmin are used for short-term anticoagulation. Heparin is not used for long-term therapy.
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Fill in the blank(s) with the appropriate word(s).
The nurse suspects a patient is demonstrating negative symptoms of schizophrenia and will be a challenge to treat because of which barriers?
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