A nurse is reinforcing teaching with a client who is to start subcutaneous heparin.
Which of the following information should the nurse include in the teaching?
Use a soft-bristled toothbrush.
Inject the medication deep into the thigh muscle.
Expect stools to become black and tarry.
Easy bruising indicates the medication is effective.
The Correct Answer is A
The nurse should include in the teaching that the client should use a soft-bristled toothbrush.
Heparin is an anticoagulant that decreases the clotting ability of the blood 1.
Using a soft-bristled toothbrush can help prevent bleeding of the gums while brushing teeth.
Choice B is incorrect because heparin should not be injected deep into the thigh muscle.
Instead, it should be given subcutaneously (under the skin) 2.
Choice C is incorrect because black and tarry stools are not an expected side effect of heparin.
Choice D is incorrect because easy bruising does not indicate that the medication is effective.
Instead, easy bruising may be a side effect of heparin and should be reported to the healthcare provider 1.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
Albuterol is an inhaled medication that can quickly relieve the symptoms of asthma.
Classified as a short-acting beta-agonist (SABA) and bronchodilator, albuterol relaxes the muscles in your airways that tighten during an asthma attack.
This causes the airways in the lung to increase in size, which allows air to move more freely through them1.
This can help prevent wheezing, open airways and decrease coughing.
Choice A: The medication will increase the amount of mucus is not a correct answer because albuterol does not increase the amount of mucus.
Correct Answer is D
Explanation
The nurse should instruct the client to cleanse the skin before applying a nitroglycerin transdermal patch 1.
This is because it is important to apply the patch to a clean, dry skin area with little or no hair that is free of scars, cuts, or irritation 1.
Choice A is incorrect because it is not recommended to use an old patch with medication residue.
Instead, always remove a previous patch before applying a new one 1.
Choice B is incorrect because a nitroglycerin patch should not be kept in place for 72 hours before replacing.
Instead, it should be worn for 12 to 14 hours and then removed 2.
Choice C is incorrect because the patch should not be applied to a hairy area of the skin for better adherence.
Instead, it should be applied to an area with little or no hair 1.
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