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 A

Explanation

A. Myxedema coma. Myxedema coma is a severe, life-threatening complication of untreated or undertreated hypothyroidism. It manifests with severe hypothyroid symptoms such as hypothermia, altered mental status, and can lead to coma and death if untreated.

B. Goiters: Enlarged thyroid gland due to various causes but not typically life-threatening.

C. Sjogren's syndrome: An autoimmune disorder affecting moisture-producing glands, not directly related to hypothyroidism.

D. Hashimoto's disease: An autoimmune disorder causing hypothyroidism but not directly associated with life-threatening complications like myxedema coma.

A. A 45-year-old female who has a family history of autoimmune disorders B. A 73-year-old male who has an iodine deficiency C. A 25-year-old female who has metabolic syndrome D. A 35-year-old male who has Graves' disease

Correct Answer is D

Explanation

A. A 45-year-old female who has a family history of autoimmune disorders. Autoimmune disorders can increase the risk of some thyroid conditions, but not necessarily hyperthyroidism.

B. A 73-year-old male who has an iodine deficiency: Iodine deficiency can lead to goiter and hypothyroidism but is not a common cause of hyperthyroidism.

C. A 25-year-old female who has metabolic syndrome: Metabolic syndrome is not directly linked to thyroid dysfunction.

D. A 35-year-old male who has Graves' disease: Graves’ disease is an autoimmune disorder that leads to overproduction of thyroid hormones, resulting in hyperthyroidism..

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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

A nurse is providing teaching to a client about hypothyroidism. Which of the following potentially fatal conditions associated with hypothyroidism will the nurse include?

Correct Answer is A

Explanation

A nurse is reviewing the medical records of clients on a hospital floor. Which client would the nurse expect is most at risk for hyperthyroidism?

Correct Answer is D

Explanation

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