A postoperative patient will begin anticoagulant therapy with rivaroxaban [Xarelto] after knee replacement surgery. The nurse performs a history and learns that the patient is taking erythro-mycin. The patient's creatinine clearance is 50 mL/min
The nurse will: a. administer the first dose of rivaroxaban as ordered.
b. notify the provider to discuss changing the patient's antibiotic.
c. request an order for a different anticoagu-lant medication.
d. request an order to increase the dose of rivaroxaban.
B
Patients with impaired renal function who are taking macrolide antibiotics will experience in-creased levels of rivaroxaban, increasing the risk of bleeding. It is correct to discuss using a dif-ferent antibiotic if possible. The nurse should not administer the dose without discussing the sit-uation with the provider. The patient's renal impairment is minor; if it were more severe, using a different anticoagulant might be appropriate. It is not correct to increase the dose of rivaroxaban.
You might also like to view...
Which of the following would be considered a failure of proper implementation?
a. Not identifying and analyzing symptoms appropriately b. Not documenting the patient's response to pain medication c. Not recognizing a malfunctioning chest tube d. Not asking the patient about code or no code wishes
The patient admitted to the hospital may adjust to illness by assuming a role in which everyday responsibilities are avoided. What is this role called?
a. Patient role b. Illness role c. Sick role d. Dependent role
A nurse spills some liquid antineoplastic drug on the unit floor. What should the nurse do to avoid self-contamination with the antineoplastic drug?
A) Cover the drug spill with a disposable paper pad B) Pour a disinfectant on the drug spill C) Pour a 70% alcohol solution over the drug spill D) Avoid cleaning the spill area with water
The nurse notes a general increase in clients' use of complementary and alternative therapies. What should the nurse identify as reasons for the increase in these therapies? Select all that apply
1. Increased media attention 2. The advent of the Internet 3. Increased international travel 4. The use of traditional Western medicine for treatment 5. Increased consumer awareness of the limitations of conventional medicine