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. .
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Related Questions
Correct Answer is C
Explanation
Choice A rationale
Exhibiting the ability to provide self-care may not be realistic for a patient with advanced Alzheimer’s disease. Cognitive decline may impair their ability to perform daily activities independently, necessitating assistance from caregivers.
Choice B rationale
Improving memory for recent events is unlikely in advanced Alzheimer’s disease, as the condition typically involves progressive memory loss and cognitive decline. New medications may help manage symptoms, but reversing memory loss is not a realistic goal.
Choice C rationale
Receiving appropriate assistance for care needs is a realistic and achievable goal for patients with advanced Alzheimer’s disease. As the disease progresses, patients will require increasing levels of support to ensure their safety and well-being.
Choice D rationale
Demonstrating improved cognitive function is unlikely in advanced Alzheimer’s disease. While medications may help manage symptoms, the progressive nature of the disease means that cognitive decline will continue, and improvement is not a realistic expectation.
Correct Answer is B
Explanation
Choice A rationale
Pharmacodynamics is the study of how drugs affect the body, including the mechanisms of action and the relationship between drug concentration and effect. It does not describe the actions of the nurses in this context.
Choice B rationale
Pharmacotherapeutics involves the use of drugs to diagnose, treat, and prevent disease. The actions of the nurses in administering iodine, chemotherapy, and vaccines are examples of pharmacotherapeutics, as they are using drugs for therapeutic purposes.
Choice C rationale
Pharmacoeconomics is the study of the cost and value of drugs and therapies. It does not describe the actions of the nurses in administering medications.
Choice D rationale
Pharmacokinetics is the study of how the body absorbs, distributes, metabolizes, and excretes drugs. It does not describe the actions of the nurses in this context.
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