A client is receiving anticoagulant therapy to prevent blood clots. The nurse identifies a potential adverse effect of anticoagulation as:
Increased risk of bleeding.
Elevated blood pressure readings.
Hyperactivity and restlessness.
Increased blood viscosity.
The Correct Answer is A
A) Correct. Anticoagulant therapy prevents blood from clotting effectively, which can lead to an increased risk of bleeding.
B) Incorrect. Anticoagulant therapy is not associated with elevated blood pressure readings.
C) Incorrect. Hyperactivity and restlessness are not typical adverse effects of anticoagulant therapy.
D) Incorrect. Anticoagulant therapy does not increase blood viscosity (thickness); instead, it reduces the blood's ability to form clots.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct. A CT scan is a valuable diagnostic tool to identify the cause and source of bleeding, especially in cases of significant hemorrhage.
B) Incorrect. While a complete blood count (CBC) provides valuable information about the client's red blood cells and hemoglobin levels, it does not directly identify the cause and source of bleeding.
C) Incorrect. An electrocardiogram (ECG) is used to assess the heart's electrical activity and is not relevant to identifying the cause and source of bleeding.
D) Incorrect. Magnetic Resonance Imaging (MRI) is helpful in diagnosing various conditions but is not the primary test for identifying the cause and source of bleeding in a client with suspected hemorrhage.
Questions
Correct Answer is A
Explanation
A) Correct. Before administering a blood transfusion, obtaining informed consent from the client is essential to ensure the client understands the procedure, its potential risks, and provides their voluntary agreement for the transfusion.
B) Incorrect. While pain assessment is important, it is not the most crucial action before starting a blood transfusion.
C) Incorrect. Prophylactic antibiotics are not typically administered before a blood transfusion unless specifically indicated for the client's condition.
D) Incorrect. While taking vital signs is important, obtaining consent is more critical before starting a blood transfusion.
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