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 B

Explanation

A. Hyperextend the client's neck: Incorrect; this can strain the surgical site. Neck should be supported in a neutral position.

B. Instruct the client to deep breathe every 4 hr: Deep breathing exercises prevent respiratory complications and promote lung expansion postoperatively. Helps prevent atelectasis and pneumonia.

C. Place the head of the client's bed in the flat position: Incorrect; semi-Fowler's position is preferred to reduce risk of airway compromise and edema.

D. Check the client's voice every 2 hr: Monitoring voice changes helps detect recurrent laryngeal nerve injury, a complication of thyroidectomy. Changes in voice quality can indicate vocal cord paralysis or injury.

A. Confusion B. Fatigue C. Pain D. Slurred speech

Correct Answer is B

Explanation

A. Confusion: Not typically associated with iron deficiency anemia.

B. Fatigue. Fatigue is a hallmark symptom due to decreased oxygen-carrying capacity of the blood. Iron is essential for hemoglobin, and without sufficient iron, oxygen delivery to tissues is impaired, leading to fatigue.

C. Pain: Pain is not a typical symptom of iron deficiency anemia.

D. Slurred speech: Neurological symptoms like slurred speech are not typically seen in iron deficiency anemia unless severe.

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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 planning care for a client who is postoperative following a thyroidectomy. Which of the following interventions should the nurse include in the plan?

Correct Answer is B

Explanation

A nurse is obtaining a health history from a client who has iron deficiency anemia. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A nurse is obtaining a health history from a client. Which of the following findings should the nurse identify as possible risk factors for iron deficiency anemia? (Select All that Apply.)

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