A nurse is providing education before administering apixaban (Eliquis) to a client who has persistent atrial fibrillation. Which of the following statements made by the client indicates an understanding of the teaching?
"I will be taking this medication to reduce my risk of bleeding."
"This medication will control my ventricular rate."
"This medication will convert my heart rhythm back to normal sinus rhythm."
"The purpose of this medication is to reduce the chance that I will have a stroke."
The Correct Answer is D
A. Apixaban is an anticoagulant used to prevent clot formation and reduce stroke risk, not specifically to reduce bleeding risk.
B. Rate control is typically achieved with medications like beta-blockers or calcium channel blockers, not anticoagulants like apixaban.
C. Apixaban does not convert heart rhythm; it prevents blood clots.
D. The primary purpose of apixaban in patients with atrial fibrillation is to reduce the risk of stroke by preventing blood clot formation.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["24"]
Explanation
To calculate the IV pump rate, you'll need to use the formula: (Ordered amount of medication (units/hr) × Volume of fluid in mL) / Amount of medication in the volume = IV pump rate in mL/hr. For the given scenario, the ordered amount is 1,200 units/hr, the volume of fluid is 500 mL, and the amount of medication in the volume is 25,000 units. Plugging these numbers into the formula gives you: (1,200 units/hr × 500 mL) / 25,000 units = 24 mL/hr. Therefore, the nurse should set the IV pump to deliver 24 mL/hr.
Correct Answer is C
Explanation
A. Elevated BUN can indicate kidney dysfunction but is not specific for assessing heart failure severity.
B. Elevated troponin levels indicate myocardial injury or infarction, not heart failure exacerbation.
C. B-type natriuretic peptide (BNP) levels are directly correlated with the severity of heart failure, as they are released in response to ventricular volume expansion and pressure overload.
D. An electrocardiogram (ECG) can show arrhythmias or ischemia but does not directly measure heart failure severity.
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