A client is receiving Enoxaparin for the prevention of deep vein thrombosis. Which of the following actions should the nurse take?

Questions 78

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Proctored Pharmacology ATI Questions

Question 1 of 9

A client is receiving Enoxaparin for the prevention of deep vein thrombosis. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 9

A client is taking naproxen following an exacerbation of rheumatoid arthritis. Which of the following statements by the client requires further discussion?

Correct Answer: B

Rationale: The client stating that they have been taking an antacid to help with indigestion while on naproxen requires further discussion as it can indicate gastrointestinal distress or potential interactions between the medications. Antacids may affect the absorption of naproxen or lead to other complications, so it is important for the nurse to address this statement with the client.

Question 3 of 9

The following drugs can cause QT prolongation:

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 9

A client with congestive heart failure taking digoxin refused breakfast and is complaining of nausea and weakness. Which action should the nurse take first?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 9

A client has a prescription for Acyclovir. Which of the following instructions should the nurse include?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 6 of 9

A healthcare professional is preparing to administer morphine 4 mg IV to a client. Available is morphine 10 mg/mL. How many mL should the healthcare professional administer?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 7 of 9

When teaching a client with a new prescription for nitroglycerin patches, which of the following instructions should the nurse include?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 8 of 9

The following is most suitable for thromboembolic prophylaxis in a patient with a left ventricular aneurysm following a myocardial infarction three months ago:

Correct Answer: C

Rationale: A left ventricular aneurysm post-MI risks thrombus formation due to stasis, necessitating anticoagulation. IV heparin is acute, not outpatient prophylaxis, impractical here. Subcutaneous enoxaparin prevents thromboembolism short-term (e.g., post-surgery), but its duration suits weeks, not months. Oral warfarin, a vitamin K antagonist, provides long-term anticoagulation (INR 2-3), ideal for chronic prophylaxis against mural thrombi embolizing to systemic circulation, most suitable three months post-MI. Oral aspirin (antiplatelet) or aspirin plus clopidogrel targets arterial clots, less effective for ventricular stasis-related venous thrombi. Warfarin's sustained effect reduces stroke risk, critical in this structural heart defect.

Question 9 of 9

A client is taking lisinopril. Which of the following outcomes indicates a therapeutic effect of the medication?

Correct Answer: A

Rationale: The therapeutic effect of lisinopril, an ACE inhibitor, is indicated by a decrease in blood pressure. Lisinopril works by relaxing blood vessels, leading to a reduction in blood pressure. Monitoring and achieving a decrease in blood pressure is a key outcome when managing hypertension with lisinopril.

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