A nurse is caring for a postoperative client following a total knee replacement. Which of the following medications should the nurse anticipate the provider to prescribe to prevent the formulation of a deep vein thrombosis (DVT)?
Enoxaparin
Alteplase (tPA)
Warfarin
Clopidogrel
The Correct Answer is A
A. Enoxaparin. Enoxaparin is a low molecular weight heparin used for prophylaxis against DVT. It works by inhibiting clotting factors and is commonly used postoperatively to prevent DVT formation.
B. Alteplase (tPA): Alteplase is a thrombolytic agent used to dissolve clots and is not used for DVT prophylaxis.
C. Warfarin: Warfarin requires monitoring and has a delayed onset, making it less suitable for immediate postoperative DVT prophylaxis.
D. Clopidogrel: Clopidogrel is an antiplatelet agent and is not typically used for DVT prophylaxis postoperatively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Myxedema coma. Myxedema coma is a severe, life-threatening complication of untreated or undertreated hypothyroidism. It manifests with severe hypothyroid symptoms such as hypothermia, altered mental status, and can lead to coma and death if untreated.
B. Goiters: Enlarged thyroid gland due to various causes but not typically life-threatening.
C. Sjogren's syndrome: An autoimmune disorder affecting moisture-producing glands, not directly related to hypothyroidism.
D. Hashimoto's disease: An autoimmune disorder causing hypothyroidism but not directly associated with life-threatening complications like myxedema coma.
Correct Answer is C
Explanation
A. Systemic lupus erythematosus (SLE): SLE is an autoimmune disease but is not directly linked to the pathophysiology of HIT.
B. Placental abruption: Placental abruption is a complication of pregnancy and is not a risk factor for HIT.
C. Heparin therapy for deep-vein thrombosis (DVT): Correct Answer. Heparin therapy itself, especially in the treatment of deep-vein thrombosis, is a significant risk factor for developing HIT due to the exposure to heparin.
D. Warfarin therapy for atrial fibrillation: Warfarin is not associated with the development of HIT.
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