A nurse is caring for a client with unstable angina and receives an order for antiplatelet therapy. Which medication should the nurse expect to administer?
Clopidogrel (Plavix).
Nitroglycerin.
Atorvastatin (Lipitor).
Metoprolol.
The Correct Answer is A
A) This choice is correct. Clopidogrel (Plavix) is an antiplatelet medication commonly prescribed for clients with unstable angina to prevent platelet aggregation and reduce the risk of blood clot formation in coronary arteries.
B) This choice is incorrect because nitroglycerin is a vasodilator used to relieve angina symptoms, but it does not have the antiplatelet effect necessary for managing unstable angina.
C) This choice is incorrect because atorvastatin is a statin medication used to lower cholesterol levels and prevent cardiovascular events, but it does not have the antiplatelet effect required for managing unstable angina.
D) This choice is incorrect because metoprolol is a beta-blocker used to reduce heart rate and blood pressure, but it is not an antiplatelet agent like clopidogrel.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) This choice is incorrect because while aspirin is important for clients with angina, the priority teaching point is the use of nitroglycerin for chest pain relief during angina episodes.
B) This choice is incorrect because keeping a log of triggers can be helpful for managing angina, but it is not the priority teaching point regarding the immediate relief of chest pain.
C) This choice is incorrect because limiting physical activity to avoid exertion is not the primary management strategy for angina. Moderate exercise, as tolerated, is beneficial for clients with stable angina.
D) This choice is correct. Nitroglycerin is a vasodilator that helps to relax and widen blood vessels, improving blood flow and relieving chest pain during an angina episode. Teaching the client to use nitroglycerin as needed for chest pain relief is a priority in angina management.
Correct Answer is B
Explanation
A) This choice is incorrect because obtaining a detailed health history is important, but administering aspirin is the priority action in a suspected MI. Aspirin helps to prevent further clot formation and reduces the risk of complications during a myocardial infarction.
B) This choice is correct. Administering aspirin as prescribed is the priority action in a suspected MI. Aspirin acts as an antiplatelet agent and can help to prevent the formation of blood clots that could exacerbate the blockage in the coronary artery.
C) This choice is incorrect because while performing a complete physical examination is important, administering aspirin takes precedence in a suspected MI to address the potential clot formation.
D) This choice is incorrect because placing the client in a supine position is not the priority action in a suspected MI. The client's position should be adjusted based on their comfort and ability to breathe effectively.
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