Nokea
The nurse is discharging home a client at risk for venous thromboembolism on enoxaparin sodium. What instruction is a priority for the nurse to provide to this client?
- A. Notify your health care provider if your stools appear dark or tarry
- B. You must have your prothrombin time (PT)/international normalized ratio (INR) checked every 2 weeks
- C. Massage the injection site after the heparin is injected
- D. You must have your activated partial thromboplastin time (aPTT) checked every 72 hours
Correct Answer: A
Rationale: Enoxaparin, a low-molecular-weight heparin, thins blood dark, tarry stools signal GI bleed, a dire side effect needing instant reporting to halt hemorrhage. PT/INR tracks warfarin, not enoxaparin; aPTT's for unfractionated heparin. Massaging injection sites risks bruising. Nurses prioritize bleed watch, ensuring safety on this clot-busting med, a discharge must-know.
You may also like to solve these questions
Which of the following countries has the highest percentage of diabetes patients?
- A. USA
- B. Britain
- C. India
- D. Saudi Arabia
Correct Answer: D
Rationale: Saudi Arabia's diabetes rate soars wealth, sedentary shifts, and diet spike it past USA's obesity-driven numbers, Britain's milder load, and India's vast but diluted count. Over 20% prevalence there trumps others' teens, a chronic epidemic nurses track in Gulf states, tied to rapid modernization.
Rehabilitation is an ongoing process which is individual for each patient. Which of the following concepts are not part of the goals of the rehabilitation process for the patient?
- A. Adaptation
- B. Reconstruction of self-identity
- C. Ongoing dependency
- D. Developing a sense of a new normal
Correct Answer: C
Rationale: Rehab rebuilds adapt, re-ID, new normal aims up, not down. Dependency's the foe, not goal. Nurses push this, a chronic comeback.
Which statement is not true?
- A. chloroquine does not extinguish the dormant liver phase in vivax and ovale
- B. malaria is possible even if full prophylaxis is taken
- C. splenomegaly with rupture is possible
- D. a maculopapular rash is characteristic and common
Correct Answer: D
Rationale: Malaria's rash rare, not hallmark unlike liver hideouts, prophylaxis slips, spleen bombs, or outpatient fits. Nurses nix this chronic myth.
Clients with chronic illness want the health care system to provide them with which of the following?
- A. Less information
- B. Less travel time
- C. Ways to adjust to disease consequences
- D. Limited information on ways to cope with their symptoms
Correct Answer: C
Rationale: Chronic folks crave adaptation tools handling fear, sleep woes, or sex shifts not less info or travel ease. Nurses deliver this, a lifeline for illness' long tail, not just quick fixes.
A nurse who works in an oncology clinic is assessing a patient who has arrived for a 2-month follow-up appointment following chemotherapy. The nurse notes that the patient's skin appears yellow. Which blood tests should be done to further explore this clinical sign?
- A. Liver function tests (LFTs)
- B. Complete blood count (CBC)
- C. Platelet count
- D. Blood urea nitrogen and creatinine
Correct Answer: A
Rationale: Yellow skin signals jaundice, often tied to liver dysfunction, a frequent issue post-chemotherapy due to metastatic spread or drug toxicity. Liver function tests (LFTs) like ALT, AST, and bilirubin directly assess liver health, pinpointing if metastases or chemo agents (e.g., hepatotoxic drugs like methotrexate) are at play. A CBC might show anemia or infection but doesn't target liver issues. Platelet count could hint at clotting problems, possibly liver-related, but it's too narrow. Blood urea nitrogen and creatinine check kidney function, not liver, despite both organs handling chemo clearance. Since the liver's a common metastatic site especially from cancers like breast or lung LFTs are the go-to here, guiding the nurse to catch complications early and adjust care, critical in oncology follow-ups.