A postoperative home care patient has developed thrombophlebitis in her right leg.
What type of medication is likely to be prescribed for this cardiovascular complication?
Anticoagulant medication
Antihistamine medication
Antibiotic medication
Antigen
The Correct Answer is A
Choice A rationale:
Thrombophlebitis is a condition characterized by inflammation and blood clot formation within a vein. It commonly occurs in the legs, particularly after surgery or periods of prolonged immobility.
Anticoagulant medications work by preventing the formation of blood clots or by slowing their growth. They do not dissolve existing clots, but they can help prevent the clot from enlarging or breaking off and traveling to other parts of the body, such as the lungs (causing a pulmonary embolism).
Common anticoagulant medications used to treat thrombophlebitis include:
Heparin: This is a fast-acting injectable medication often used in the initial treatment of thrombophlebitis. Warfarin: This is an oral medication that takes a few days to start working but can be used for long-term treatment.
Direct oral anticoagulants (DOACs): These are newer oral medications that have a more predictable effect and fewer interactions with food and other medications compared to warfarin.
The choice of anticoagulant medication depends on several factors, including the severity of the thrombophlebitis, the patient's overall health, and any other medications they are taking.
Choice B rationale:
Antihistamine medications are used to treat allergic reactions. They do not have any effect on blood clots and would not be effective in treating thrombophlebitis.
Choice C rationale:
Antibiotic medications are used to treat infections caused by bacteria. They do not have any effect on blood clots and would not be effective in treating thrombophlebitis unless there is a concurrent bacterial infection.
Choice D rationale:
Antigens are substances that trigger an immune response in the body. They are not used to treat thrombophlebitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
While it's true that gastrointestinal peristalsis may be slowed after surgery, this is not the primary reason for administering a cleansing enema before colon surgery.
The main goal of the enema is to evacuate stool from the colon, ensuring a clear and unobstructed surgical field. This helps to:
Reduce the risk of infection
Facilitate better visualization of the colon during surgery
Minimize the potential for complications
Choice B rationale:
Cleansing enemas are not administered solely based on patient request.
They are prescribed for specific medical reasons, such as preparing for colon surgery or certain diagnostic procedures. Patient preference may be considered, but it's not the determining factor.
Choice C rationale:
While decreased gas and discomfort post-operatively can be a potential benefit of a cleansing enema, it's not the primary reason for its use before colon surgery.
The primary goal, as mentioned earlier, is to clear the colon for a safe and effective surgical procedure. However, reduced gas and discomfort can contribute to a smoother post-operative recovery.
Choice D rationale:
Multiple cleansing enemas are not routinely given to all surgical patients.
The decision to administer an enema is based on the specific type of surgery, the patient's condition, and other factors. In some cases, a single enema may be sufficient, while others may require more than one.
Correct Answer is A
Explanation
Choice A rationale:
Tertiary health promotion and illness prevention focus on managing existing health conditions and preventing complications. Administering a nebulized bronchodilator to a client who is short of breath directly addresses an existing respiratory problem, aiming to relieve symptoms and prevent further respiratory distress. This intervention falls under tertiary prevention because it targets a client already experiencing respiratory symptoms.
Key points:
Bronchodilators open constricted airways, easing airflow and breathing.
Nebulizers deliver medication directly to the lungs, providing rapid relief.
Shortness of breath is a common symptom of respiratory conditions like asthma and COPD.
Prompt treatment of respiratory symptoms can prevent worsening of the condition and potential complications.
Choice B rationale:
Teaching a client about the risks of light cigarettes is an example of primary prevention. It aims to prevent lung disease before it develops by educating individuals about the harms of smoking.
Choice C rationale:
Advocating for more explicit warning labels on cigarette packages is a form of secondary prevention. It targets at-risk populations (smokers) to encourage behavior change and reduce smoking rates, ultimately lowering the incidence of lung disease.
Choice D rationale:
Assisting with lung function testing is a diagnostic procedure, not a tertiary prevention intervention. It helps to identify respiratory problems but doesn't directly manage or prevent them.
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