A 50-year-old female patient asks a nurse about taking aspirin to prevent heart disease. The patient does not have a history of myocardial infarction. Her cholesterol and blood pressure are normal, and she does not smoke
What will the nurse tell the patient? a. Aspirin is useful only for preventing a second myocardial infarction.
b. She should ask her provider about using a P2Y12 ADP receptor antagonist.
c. She should take one 81-mg tablet per day to prevent myocardial infarction.
d. There is most likely no protective benefit for patients her age.
D
ASA is used for primary prevention of myocardial infarction (MI) in men and in women older than 65 years. Aspirin for primary prevention may be used in women ages 55 to 79 years when the potential benefit of a reduction in MI outweighs the potential harm of increased GI hemorr-hage. This patient has no previous history of MI, so the use of ASA is not indicated. ASA is useful for primary prevention, but only when indicated by cardiovascular risk, based on age, gender, cholesterol levels, blood pressure, and smoking status. A P2Y12 ADP receptor antagonist is used as secondary prevention. This patient should not begin taking ASA unless her risk factors change, or until she is 65 years old.
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The nurse is working with a nursing assistant to care for several postoperative patients. Which interventions can the nurse delegate to the assistant for completion? (Select all that apply.)
a. Assess patients' comfort levels and need for pain medication. b. Empty urinary catheter bags and record urine output. c. Teach patients how to use incentive spirometers hourly. d. Provide ice chips and juice to patients who are no longer NPO. e. Monitor incisions for signs of infection. f. Applying TED hose and assisting with oral care.
The patient in what type of therapy gains knowledge that there are others with similar problems? _____________________
ANS:
A client is diagnosed with acute tubular necrosis. The nurse understands that cardiac monitoring would be indicated based on which laboratory findings? Select all that apply:
1. Hyperkalemia 2. Hypercalcemia 3. Hyperphosphatemia 4. Lymphocytosis 5. Leukocytosis