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 C
Explanation
Alteplase works by activating plasminogen, which converts to plasmin, an enzyme that degrades fibrin.Fibrin is a protein that forms the meshwork of a blood clot, so by breaking it down, alteplase helps dissolve the clot and restore blood flow.
Choice A is wrong because alteplase does not inhibit platelet aggregation and adhesion.
Platelets are blood cells that stick together and form the initial plug in a blood clot.Alteplase does not affect platelets directly, but rather targets fibrin.
Choice B is wrong because alteplase does not interfere with the coagulation cascade.
The coagulation cascade is a series of reactions that lead to the formation of fibrin from fibrinogen.Alteplase does not inhibit any of the steps in this process, but rather activates plasminogen, which is already present in the blood.
Choice D is wrong because alteplase does not block the action of platelet activators or receptors.
Platelet activators are substances that stimulate platelets to aggregate and adhere, such as thrombin, ADP, and collagen.
Platelet receptors are molecules on the surface of platelets that bind to these activators or to other platelets, such as GPIIb/IIIa and GPVI.Alteplase does not affect these molecules, but rather targets fibrin.
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.
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