You are writing a care plan for a patient who is taking anticoagulant.
What would be an appropriate nursing diagnosis?
Maintain narcan on standby.
Notify the healthcare provider of any patient receiving this drug.
Evaluate patient for PT for 2.5.
Establish safety precautions.
The Correct Answer is D
Choice A rationale
Maintaining narcan (naloxone) on standby is not directly related to anticoagulant therapy. Narcan is used to reverse opioid overdoses, not to manage the effects of anticoagulants.
Choice B rationale
Notifying the healthcare provider of any patient receiving this drug is a general action but not an appropriate nursing diagnosis. Nursing diagnoses focus on identifying specific patient needs and planning care to address those needs.
Choice C rationale
Evaluating the patient for PT (prothrombin time) for 2.5 is an action, not a nursing diagnosis. Nursing diagnoses identify patient needs and risks, guiding the planning and implementation of care.
Choice D rationale
Establishing safety precautions is an appropriate nursing diagnosis for a patient on anticoagulant therapy. Anticoagulants increase the risk of bleeding, so ensuring patient safety and preventing injury is crucial to minimize this risk. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Clonic-tonic muscle contraction is related to convulsions and seizures but does not accurately define epilepsy. Epilepsy is a neurological disorder characterized by recurrent seizures due to abnormal electrical activity in the brain.
Choice B rationale
Epilepsy involves abnormal electrical discharges in the brain, not in the muscles. Muscle contractions are a symptom of seizures, not the cause of epilepsy.
Choice C rationale
Epilepsy is not a single disease; it encompasses various conditions characterized by recurrent seizures. It is a spectrum of disorders with different causes and manifestations.
Choice D rationale
This choice accurately describes epilepsy as characterized by sudden, recurrent, and transient disturbances in brain function due to abnormal electrical discharges in the brain.
Correct Answer is B
Explanation
Choice A rationale
Beta-adrenergic blockers generally do not decrease urinary output. These drugs primarily act on the cardiovascular system by blocking beta-adrenergic receptors, which results in lowered heart rate and blood pressure. Their effects are less pronounced on the renal system unless specific agents with renal effects are used.
Choice B rationale
Beta-adrenergic blockers decrease the strength of heart muscle contraction (negative inotropic effect). By blocking beta receptors, they inhibit the stimulatory effects of catecholamines on the heart, reducing the force of myocardial contraction, which helps decrease oxygen demand and control angina symptoms.
Choice C rationale
Beta-adrenergic blockers typically decrease heart rate (negative chronotropic effect) rather than increase it. They inhibit beta-adrenergic receptors, which leads to a slower heart rate and can help manage conditions like angina by reducing myocardial oxygen consumption.
Choice D rationale
Beta-adrenergic blockers decrease oxygen consumption by reducing heart rate and the force of contraction. These effects lower myocardial oxygen demand, which is beneficial for patients with angina by preventing episodes triggered by increased oxygen needs.
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