A client is diagnosed with a deep vein thrombosis (DVT) and is prescribed anticoagulant therapy. What should the client be instructed to report to the healthcare provider?
Mild bruising at the injection site
Occasional fatigue and weakness
Blood in the urine or stools
Occasional dizziness upon standing
The Correct Answer is C
A) Incorrect - Mild bruising at the injection site is a common side effect of anticoagulant therapy and does not require immediate reporting unless it worsens or is accompanied by other concerning symptoms.
B) Incorrect - Occasional fatigue and weakness are general symptoms and may not be directly related to anticoagulant therapy. They may require monitoring but do not require immediate reporting.
C) Correct - Blood in the urine or stools can indicate bleeding, which is a potential complication of anticoagulant therapy. This symptom should be reported promptly to the healthcare provider.
D) Incorrect - Occasional dizziness upon standing may not be directly related to anticoagulant therapy. While dizziness should be monitored, it does not require immediate reporting unless it worsens or is accompanied by other concerning symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct - Monitoring for signs of stroke is the priority during the immediate postoperative period for a client who underwent carotid artery endarterectomy. The procedure involves removing plaque buildup from the carotid artery, which can potentially dislodge and cause a stroke.
B) Incorrect - Assessing the surgical incision for bleeding is important, but it is not the priority when compared to monitoring for signs of stroke after a carotid endarterectomy.
C) Incorrect - Administering pain medications is essential for the client's comfort, but it is not the priority during the immediate postoperative period when there is a higher risk of stroke.
D) Incorrect - Encouraging coughing and deep breathing is a standard postoperative nursing intervention, but it is not the priority in this situation. The focus should be on monitoring for stroke symptoms.
Correct Answer is A
Explanation
A) Correct - After an endovascular stent graft placement for an AAA, clients should avoid heavy lifting for at least 2 weeks to prevent stress on the graft site and minimize the risk of complications.
B) Incorrect - Stopping all blood-thinning medications is not advisable after an endovascular stent graft placement. These medications may be prescribed to prevent blood clots around the graft site.
C) Incorrect - While follow-up CT scans are essential to monitor the success of the procedure and assess the aneurysm's stability, they are not expected to be frequent. The frequency of follow-up scans will be determined by the healthcare provider based on the client's progress.
D) Incorrect - Beginning a rigorous exercise routine immediately after the procedure is not recommended. Clients should gradually resume physical activity as guided by their healthcare provider to avoid complications and promote proper healing.
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