A client with immune thrombocytopenic purpura (ITP) will begin treatment with romiplostim (Nplate) to be administered by subcutaneous injection in the provider's office once per week. Which statement should the nurse plan to include when educating the client about this medication?

This medication increases the production of plasma enzyme ADAMTS-13.

This medication prevents platelets from being destroyed in the spleen.

This medication prevents platelets from binding with heparin.

This medication stimulates the bone marrow to increase platelet production.

Answer and Explanation

The Correct Answer is D

A. Romiplostim does not increase the production of ADAMTS-13; it is used to increase platelet counts.
B. Romiplostim does not prevent platelet destruction in the spleen; it works by stimulating platelet production.
C. Romiplostim does not prevent platelets from binding with heparin; it is not used for heparin-induced thrombocytopenia.
D. Romiplostim is a thrombopoietin receptor agonist that stimulates the bone marrow to increase platelet production, which is its primary mechanism of action in treating ITP.

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Correct Answer is D

Explanation

A. Vitamin K is an antidote for warfarin, not heparin.
B. Enoxaparin is a low molecular weight heparin and is contraindicated in patients with a history of HIT.
C. Warfarin is an oral anticoagulant used for long-term anticoagulation therapy and is not used to neutralize heparin.
D. Protamine sulfate is the specific antidote for heparin and is used to neutralize its effects.

A. “I can eat whatever I want in restaurants, as long as I don't add additional salt from the shaker when the food arrives to the table." B. "I will eat more fresh vegetables, because canned vegetables can be high in sodium." C. “I should read the nutrition labels when I grocery shop, because sodium can be high in a variety of processed foods." D. "I can add lemon juice and herbs for flavor when I cook, instead of adding salt."

Correct Answer is A

Explanation

A. This statement indicates a lack of understanding about hidden sodium in restaurant foods. Many restaurant dishes contain high levels of sodium, even if additional salt is not added at the table. The client needs to be educated about choosing low-sodium options when dining out and asking about the sodium content of meals.
B. This statement reflects correct understanding, as fresh vegetables typically contain less sodium than canned vegetables, which often have added salt.
C. This statement shows proper knowledge, as reading nutrition labels helps identify foods with high sodium content, allowing for better dietary choices.
D. This statement is appropriate, as using lemon juice and herbs is a good alternative to adding salt for flavoring food.

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A client with immune thrombocytopenic purpura (ITP) will begin treatment with romiplostim (Nplate) to be administered by subcutaneous injection in the provider's office once per week. Which statement should the nurse plan to include when educating the client about this medication?

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A low-sodium diet is prescribed for a client who has fluid volume overload due to chronic heart failure. The nurse recognizes that additional teaching is necessary when the client makes which statement?

Correct Answer is A

Explanation

A client who has been diagnosed with chronic stable angina is placed on multiple medications to manage the condition. The nurse understands that the client is receiving lisinopril for which reason?

A client has been diagnosed with chronic stable angina and has a new prescription for nitroglycerin tablets. Which statement about this medication should the nurse include in the patient education?

A nurse is providing education before administering apixaban (Eliquis) to a client who has persistent atrial fibrillation. Which of the following statements made by the client indicates an understanding of the teaching?

A client is seen in the emergency department with a heart failure exacerbation due to noncompliance with medications and fluid restrictions. Which key diagnostic result should the nurse assess to determine the severity of the client's heart failure exacerbation?

A nurse on an oncology unit is preparing to administer daunorubicin to a client who has leukemia. Which action should the nurse take before administering this medication?

A client with immune thrombocytopenic purpura (ITP) will begin treatment with romiplostim (Nplate) to be administered by subcutaneous injection in the provider's office once per week. Which statement should the nurse plan to include when educating the client about this medication?

A nurse is caring for a client who has a diagnosis of immune thrombocytopenic purpura (ITP). Despite medication therapy, the client's platelets are low. Which of the following procedures would reduce the destruction of platelets for a client who has ITP?