For which client is antiplatelet therapy indicated?
A client needing stroke prevention
A client with a vitamin K deficiency
A client with a low platelet count
A client diagnosed with leukemia
The Correct Answer is A
A. A client needing stroke prevention: Antiplatelet therapy is indicated for clients at risk of ischemic stroke or recurrent stroke because it helps prevent platelet aggregation, reducing the likelihood of clot formation in the arteries. This intervention is especially beneficial in clients with a history of transient ischemic attacks or atherosclerotic cardiovascular disease.
B. A client with a vitamin K deficiency: Vitamin K deficiency primarily affects clotting factor synthesis, leading to a bleeding tendency. Antiplatelet therapy would increase the risk of bleeding in these clients, making it contraindicated rather than indicated.
C. A client with a low platelet count: Clients with thrombocytopenia are already at risk for bleeding, and antiplatelet therapy would further impair clot formation, increasing the potential for hemorrhage. It is therefore avoided in these situations.
D. A client diagnosed with leukemia: Leukemia can be associated with low platelet counts or abnormal platelet function, placing the client at risk for bleeding. Administering antiplatelet therapy could exacerbate hemorrhagic complications rather than provide benefit.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "This medication is safe to take with my diagnosis of hypertension.": Ipratropium is an anticholinergic bronchodilator that does not significantly affect blood pressure. Clients with hypertension can safely use it to manage bronchospasm without increasing cardiovascular risk, reflecting correct understanding of the medication.
B. "I will take this medication during an acute asthma attack.": Ipratropium is not a first-line agent for acute asthma attacks. Short-acting beta-agonists like albuterol are preferred for rapid relief, as ipratropium has a slower onset and is more effective as maintenance therapy.
C. "If dry mouth occurs, I should stop taking this medication.": Dry mouth is a common, mild side effect of ipratropium and does not require discontinuation. Supportive measures like sipping fluids or using sugarless candy are appropriate rather than stopping therapy abruptly.
D. "A common side effect of this medication is urinary frequency.": Urinary retention, not frequency, is a potential side effect of anticholinergic medications. Increased urination is not typical, so this statement reflects a misunderstanding.
Correct Answer is ["B","C","D"]
Explanation
A. "This inhaled corticosteroid should be used to treat an acute asthma attack.": Inhaled corticosteroids are maintenance medications used for long-term control of asthma. They are not rescue medications and will not provide immediate relief during an acute asthma attack.
B. "You may notice dry mouth and throat irritation while using this medication.": Dry mouth and throat irritation are common local side effects of inhaled corticosteroids due to their anti-inflammatory action on airway mucosa, making this important to include in patient education.
C. "Pay special attention to your dental hygiene while prescribed this medication.": Good oral hygiene is crucial because inhaled corticosteroids can increase the risk of oral candidiasis and other oral infections. Educating the client on brushing, flossing, and routine dental care helps reduce these risks.
D. "After administration of the medication, rinse your mouth with water and spit.": Rinsing the mouth after inhalation helps remove residual medication, reducing the risk of oral fungal infections and irritation, which is an essential preventive measure.
E. "White patches in your mouth are expected when you take this medication.": White patches, or oral thrush, are not expected but are a potential adverse effect. The client should be advised to report these signs rather than assume they are normal.
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