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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "It's uncontrolled proliferative cell growth that is cancerous." Describes cancerous growth, not hypertrophy.
B. "It's the enlargement of an organ or tissue from the increase in cell size." Defines cellular hypertrophy accurately. Hypertrophy involves an increase in the size of cells, leading to the enlargement of tissues or organs, often in response to increased workload or stimulation.
C. "It's the wasting away of tissue or organs." Describes atrophy, not hypertrophy.
D. "It's the abnormal growth or development of cells." Broad definition that does not specifically describe hypertrophy.
Correct Answer is D
Explanation
A. A client who has type 2 diabetes mellitus has a blood glucose level of 120 mg/dL: This glucose level is within normal range for many diabetes management plans.
B. A client who has diabetes insipidus has an intake of 1,500 mL and an output of 1,600 mL in 24 hr: This client may require monitoring but does not indicate an acute crisis.
C. A client who has Graves' disease has a heart rate of 100/min and reports tremors: These symptoms are concerning but do not suggest an immediate life-threatening situation.
D. A client who has a left-sided stroke reports severe headache and is manifesting confusion. These symptoms may indicate worsening conditions such as hemorrhage or increased intracranial pressure. Severe headache and confusion in a stroke patient could indicate a new complication such as hemorrhage or worsening neurological status, requiring urgent assessment and intervention.
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