A nurse is teaching a client who has a new prescription for dabigatran to prevent stroke. Which of the following instructions should the nurse include? (Select all that apply.)
Take the drug with food to prevent gastrointestinal upset.
Store the drug in its original container to maintain potency.
Report any signs of bleeding, such as bruising, hematuria, or melena.
Use a soft toothbrush and an electric razor to prevent injury.
Have regular blood tests to monitor the drug level.
Correct Answer : B,C,D
Dabigatran is an anticoagulant that prevents blood clots and stroke. It can cause bleeding as a side effect, so the client should report any signs of bleeding, such as bruising, hematuria, or melena. The client should also use a soft toothbrush and an electric razor to prevent injury and bleeding. Dabigatran should be stored in its original container to maintain potency and protect it from moisture.
Choice A is wrong because dabigatran does not need to be taken with food to prevent gastrointestinal upset. It can be taken with or without food.
Choice E is wrong because dabigatran does not require regular blood tests to monitor the drug level. Unlike warfarin, dabigatran has a predictable anticoagulant effect and does not need frequent dose adjustments.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
Dabigatran is an anticoagulant that prevents blood clots and stroke.It can cause bleeding as a side effect, so the client should report any signs of bleeding, such as bruising, hematuria, or melena.The client should also use a soft toothbrush and an electric razor to prevent injury and bleeding.Dabigatran should be stored in its original container to maintain potency and protect it from moisture.
Choice A is wrong because dabigatran does not need to be taken with food to prevent gastrointestinal upset.It can be taken with or without food.
Choice E is wrong because dabigatran does not require regular blood tests to monitor the drug level.Unlike warfarin, dabigatran has a predictable anticoagulant effect and does not need frequent dose adjustments.
Correct Answer is C
Explanation
• Dabigatran is a direct thrombin inhibitor that prevents the formation of blood clots.
It is used to treat atrial fibrillation, deep vein thrombosis, and pulmonary embolism.However, it can also cause bleeding complications, especially in high doses or in clients who have renal impairment, liver disease, or other risk factors.
• Idarucizumab is a monoclonal antibody that binds to dabigatran and reverses its anticoagulant effect.It is the only specific antidote for dabigatran overdose and should be administered intravenously as soon as possible.
• Choice A. Vitamin K is wrong because it is not an antidote for dabigatran.Vitamin K is used to reverse the effect of warfarin, a vitamin K antagonist that inhibits the synthesis of clotting factors.
• Choice B. Protamine sulfate is wrong because it is not an antidote for dabigatran.Protamine sulfate is used to reverse the effect of heparin, an indirect thrombin inhibitor that enhances the activity of antithrombin.
• Choice D. Aminocaproic acid is wrong because it is not an antidote for dabigatran.Aminocaproic acid is used to treat bleeding caused by excessive fibrinolysis, such as in hemophilia or after surgery.
Thrombolytic agents:
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.