K.N. undergoes knee surgery without complications. Just before his discharge, his physician reviews the instructions and gives him a new prescription for warfarin (Coumadin)
K.N. tells his doctor, "I saw this commercial for a new blood thinner called Xarelto. I'd like to take that instead because I wouldn't need to have all this blood work done."
How do you expect the physician to respond?
Xarelto (generic name rivaroxaban) is a factor Xa inhibitor that may be used for anticoagulation in
patients with atrial fibrillation. However, K.N. has an artificial heart valve, and rivaroxaban is not
indicated in patients with atrial fibrillation in the presence of heart valve problems.
You might also like to view...
A client is admitted for tocolytic therapy for preterm labor. The client states, "I'm so afraid that I'm so early. Is my baby okay? What if the drug doesn't help?"
Based on the client's statement, the nurse would identify which nursing diagnosis as the priority? A) Anxiety B) Risk for Injury C) Impaired Gas Exchange D) Excess Fluid Volume
Which nursing action should be included in the plan of care for a patient returning to the surgical unit following a left modified radical mastectomy with dissection of axillary lymph nodes?
a. Obtain a permanent breast prosthesis before the patient is discharged from the hospital. b. Teach the patient to use the ordered patient-controlled analgesia (PCA) every 10 minutes. c. Post a sign at the bedside warning against venipunctures or blood pressures in the left arm. d. Insist that the patient examine the surgical incision when the initial dressings are removed.
A type of fat found primarily in the subscapular, axillary, adrenal, and mediastinal regions of the newborn is which of the following?
a. pure fat c. brown fat b. triglycerides d. glycerol
You are caring for a patient who has sustained multiple internal injuries, including fractured ribs and a fractured femur. The patient is intubated and on a ventilator. The best method of pain management would be
A) intramuscular injections PRN for severe pain. B) an intermittent IV injection when the pain is severe. C) a continuous intravenous infusion of analgesics. D) nonpharmacological pain relief measures such as massage.