A nurse is caring for a client who asks why she is being prescribed aspirin 325 mg daily following a myocardial infarction. The nurse should instruct the client that aspirin is prescribed for clients who have coronary artery disease for which of the following effects?
To prevent fever
To provide analgesia
To reduce inflammation
To prevent blood clotting
The Correct Answer is D
A. Aspirin is not primarily prescribed to prevent fever. Its primary mechanism of action is related to its effects on platelets and blood clotting rather than its antipyretic (fever-reducing) properties.
B. While aspirin can provide analgesic (pain-relieving) effects, especially for mild to moderate pain, its use in clients with coronary artery disease is primarily due to its antiplatelet properties rather than its analgesic effects.
C. Aspirin has some anti-inflammatory properties, but in the context of coronary artery disease, its main benefit is related to its antiplatelet function rather than its anti-inflammatory effects.
D. Aspirin is widely prescribed in cardiovascular conditions like coronary artery disease because it inhibits the aggregation of platelets, reducing the risk of blood clot formation. This antiplatelet effect helps in preventing blood clots that could potentially lead to further blockages in the arteries, reducing the risk of complications such as heart attacks or strokes in individuals with heart disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Keep the client's personal items within reach.Keeping the client's personal items within reach can provide a sense of familiarity and comfort, which may reduce anxiety or disorientation, thereby decreasing the tendency to wander.
Incorrect options:
B. "Tell the family that someone should plan to stay with the client.": While family involvement is important, this suggestion may not always be feasible. Additionally, it’s the nurse’s role to ensure the safety of the client within the facility.
C. "Place the client in a quiet room at the end of the hallway.": Isolating the client may increase confusion and feelings of disorientation.
D. "Provide bright lighting in the client's room at night.": Bright lights at night can disrupt sleep and may cause further disorientation. Dim or soft lighting or use of night lights in the room is generally more appropriate to promote restful sleep.
Correct Answer is B
Explanation
A. Salmeterol:
Salmeterol is a long-acting beta-agonist bronchodilator used for respiratory conditions. While it does not directly cause sedation, the individual response may vary, and caution should be taken if the client experiences dizziness or lightheadedness.
B. Diazepam:
Diazepam is a medication that belongs to the benzodiazepine class and can cause sedation, drowsiness, and impaired coordination. These side effects increase the risk of falls, especially in older adults. Fall precautions may include measures such as bed alarms, non-skid socks, and close monitoring when the client is ambulating.
C. Misoprostol:
Misoprostol is a medication used to prevent gastric ulcers, and it does not typically cause sedation or affect coordination.
D. Penicillin G:
Penicillin G is an antibiotic and does not have sedative effects that would necessitate fall precautions.
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