A nurse is caring for a postoperative client following a total knee replacement. Which of the following medications should the nurse anticipate the provider to prescribe to prevent the formulation of a deep vein thrombosis (DVT)?

Enoxaparin

Alteplase (tPA)

Warfarin

Clopidogrel

Answer and Explanation

The Correct Answer is A

A. Enoxaparin. Enoxaparin is a low molecular weight heparin used for prophylaxis against DVT. It works by inhibiting clotting factors and is commonly used postoperatively to prevent DVT formation.

B. Alteplase (tPA): Alteplase is a thrombolytic agent used to dissolve clots and is not used for DVT prophylaxis.

C. Warfarin: Warfarin requires monitoring and has a delayed onset, making it less suitable for immediate postoperative DVT prophylaxis.

D. Clopidogrel: Clopidogrel is an antiplatelet agent and is not typically used for DVT prophylaxis postoperatively.

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Correct Answer is ["0.25"]

Explanation

Dopamine infusion calculation based on weight and concentration.

Dopamine dose ordered: 3 mcg/kg/min
Dopamine concentration: 600 mg in 1000 mL (or 600 mcg/mL)
Client's weight: 110 pounds (converted to kg: 110 lbs / 2.2 = 50 kg)

Calculations:

mcg/min = 3 mcg/kg/min × 50 kg = 150 mcg/min
mcg/hr = 150 mcg/min × 60 min/hr = 9000 mcg/hr
mL/hr = 150 mcg/min / 600 mcg/mL = 0.25 mL/hr

Answers:

mcg/min = 150 mcg/min
mcg/hr = 9000 mcg/hr
mL/hr = 0.25 mL/hr

A. Cold intolerance B. Fatigue and lethargy C. Tremors and nervousness D. Weight gain

Correct Answer is C

Explanation

A. Cold intolerance: Incorrect. Cold intolerance is associated with hypothyroidism, not hyperthyroidism.

B. Fatigue and lethargy: Symptoms typically seen in hypothyroidism.

C. Tremors and nervousness Correct Answer. Hyperthyroidism often presents with symptoms such as tremors (especially in the hands) and nervousness due to increased sympathetic activity. Increased metabolism and sympathetic nervous system activity lead to these symptoms.

D. Weight gain: Typically seen in hypothyroidism due to slowed metabolism.

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A nurse is caring for a postoperative client following a total knee replacement. Which of the following medications should the nurse anticipate the provider to prescribe to prevent the formulation of a deep vein thrombosis (DVT)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Administer a continuous Dopamine infusion at 3 mcg/kg/min. The drug is available as 600 mg in 1000 ml of fluid. The client's weight is 110 pounds. Calculate mcg/min, mcg/hr, and ml/hr. (Include unit of measure with each answer)

Correct Answer is ["0.25"]

Explanation

Which of the following is a characteristic sign of hyperthyroidism?

Correct Answer is C

Explanation

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