A nurse is teaching a client who is prescribed clopidogrel, an antiplatelet drug, to prevent recurrent stroke. Which of the following statements should the nurse include in the teaching? (Select all that apply.)
“You should avoid taking aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs) while on this medication.”
“You should report any signs of bleeding, such as nosebleeds, bruising, or black stools, to your provider.”
“You should take this medication with food to prevent gastrointestinal upset.”
“You should have your blood pressure checked regularly while on this medication.”
“You should stop taking this medication at least 5 days before any planned surgery.”.
Correct Answer : A,B,E
Clopidogrel is an antiplatelet drug that inhibits the ability of platelets to clump together as part of a blood clot. It is used to prevent recurrent stroke and other cardiovascular events in people who are at high risk.
Choice A is correct because taking aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs) while on clopidogrel can increase the risk of bleeding. These drugs also affect platelet function and can interfere with the action of clopidogrel.
Choice B is correct because bleeding is the most common side effect of clopidogrel. Any signs of bleeding, such as nosebleeds, bruising, or black stools, should be reported to the provider as they may indicate a serious complication.
Choice C is wrong because clopidogrel can be taken with or without food. Taking it with food does not prevent gastrointestinal upset, which is another possible side effect of clopidogrel.
Choice D is wrong because clopidogrel does not affect blood pressure. However, having high blood pressure can increase the risk of stroke and other cardiovascular events, so it is important to have it checked regularly and treated if necessary.
Choice E is correct because clopidogrel should be stopped at least 5 days before any planned surgery. This is to reduce the risk of excessive bleeding during or after the surgery. The provider should be informed about the use of clopidogrel and any other medications before undergoing any surgical procedure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
Clopidogrel is an antiplatelet drug that inhibits the ability of platelets to clump together as part of a blood clot.It is used to prevent recurrent stroke and other cardiovascular events in people who are at high risk.
Choice A is correct because taking aspirin or other nonsteroidal anti-inflammatory drugs (NSAIDs) while on clopidogrel can increase the risk of bleeding.These drugs also affect platelet function and can interfere with the action of clopidogrel.
Choice B is correct because bleeding is the most common side effect of clopidogrel.Any signs of bleeding, such as nosebleeds, bruising, or black stools, should be reported to the provider as they may indicate a serious complication.
Choice C is wrong because clopidogrel can be taken with or without food.Taking it with food does not prevent gastrointestinal upset, which is another possible side effect of clopidogrel.
Choice D is wrong because clopidogrel does not affect blood pressure.However, having high blood pressure can increase the risk of stroke and other cardiovascular events, so it is important to have it checked regularly and treated if necessary.
Choice E is correct because clopidogrel should be stopped at least 5 days before any planned surgery.This is to reduce the risk of excessive bleeding during or after the surgery.The provider should be informed about the use of clopidogrel and any other medications before undergoing any surgical procedure.
Correct Answer is B
Explanation
Subcutaneous injection in the abdomen.This is because enoxaparin is a low-molecular-weight heparin that is administered subcutaneously, usually in the abdomen or outer thigh.The drug should be clear and colorless or pale yellow.The dosage for adults is typically 30mg every 12 hours for 7 to 10 days, or 40mg once a day for 3 weeks after hip replacement surgery.The needle should be inserted fully into the skin and the syringe plunger should be pressed down to inject the drug.Injection sites should be rotated and areas of active skin disease or injury should be avoided.
Choice A is wrong because intramuscular injection in the deltoid muscle is not the recommended route or site for enoxaparin.Intramuscular injection may cause bleeding, bruising, or hematoma formation.
Choice C is wrong because intravenous infusion in a peripheral vein is not the recommended route for enoxaparin.Enoxaparin can be given intravenously only as a bolus injection for acute coronary syndrome, not as an infusion.
Choice D is wrong because intradermal injection in the forearm is not the recommended route or site for enoxaparin.Intradermal injection may cause skin irritation, infection, or necrosis.
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