Following a stroke, a client has been started on clopidogrel (Plavix). Why is this medication being administered?
1. To prevent stroke in high-risk patients, such as those with prosthetic heart valves
2. To decrease blood pressure
3. To increase blood pressure
4. To provide antiplatelet activity in patients who cannot tolerate aspirin
Correct Answer: 4
Rationale 1: To prevent stroke in high-risk patients, such as those with prosthetic heart valves is incorrect because warfarin (Coumadin) is indicated for this use.
Rationale 2: To decrease blood pressure is incorrect because this medication does not alter blood pressure. It is an antiplatelet drug.
Rationale 3: To increase blood pressure is incorrect because this medication does not alter blood pressure. It is an antiplatelet drug.
Rationale 4: Clopidogrel (Plavix) is an antiplatelet drug that may be used to provide antiplatelet activity in patients who cannot tolerate aspirin.
Global Rationale: Clopidogrel (Plavix) is an antiplatelet drug that may be used to provide antiplatelet activity in patients who cannot tolerate aspirin. To prevent stroke in high-risk patients, such as those with prosthetic heart valves is incorrect because warfarin (Coumadin) is indicated for this use. To decrease blood pressure is incorrect because this medication does not alter blood pressure. It is an antiplatelet drug. To increase blood pressure is incorrect because this medication does not alter blood pressure. It is an antiplatelet drug.
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