The client diagnosed with peripheral arterial disease (PAD) has a new prescription for clopidogrel. What information should the nurse include when teaching the client about this medication?
Call the health care provider if you notice that your stools are dark.
Change positions slowly to avoid dizziness.
Do not take aspirin while you are taking clopidogrel.
Take the clopidogrel with orange juice so it is more effective.
The Correct Answer is A
Clients taking clopidogrel should be advised to call their healthcare provider if they notice that their stools are dark. This could be a sign of gastrointestinal bleeding, a potential side effect of clopidogrel.
Choice B rationale
Changing positions slowly to avoid dizziness is not specifically related to clopidogrel use.
Choice C rationale
While it’s generally advised to avoid taking other blood thinners while on clopidogrel, aspirin is sometimes prescribed together with clopidogrel under the supervision of a healthcare provider.
Choice D rationale
There is no specific recommendation to take clopidogrel with orange juice for it to be more effective.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Diabetes mellitus can lead to several chronic complications, including retinopathy, which can cause blindness. Regular eye exams are crucial for early detection and treatment of diabetic retinopathy. Therefore, scheduling and keeping appointments for annual eye exams is an important part of managing diabetes.
Choice B rationale
While adequate fluid intake is generally important for overall health, it is not specifically effective in preventing kidney damage in patients with diabetes mellitus. Kidney damage in diabetes, also known as diabetic nephropathy, is caused by high blood sugar levels over time, not by dehydration.
Choice C rationale
Regular checks of cardiac enzymes are not a standard part of diabetes management. Cardiac enzymes are typically checked in the context of suspected heart disease or a heart attack, not as a routine measure in diabetes care.
Choice D rationale
While regular foot care is important in diabetes to prevent complications such as foot ulcers and infections, podiatry exams every 3 months are not typically necessary unless the patient has a history of foot problems or a high risk of foot complications.
Correct Answer is ["A","B","D"]
Explanation
Choice A rationale
Rotating injection sites when administering insulin glargine is important to prevent lipodystrophy, a condition that can affect insulin absorption.
Choice B rationale
Insulin glargine has no peak of action, which reduces the risk of hypoglycemia. This is a key feature of long-acting insulins like glargine.
Choice C rationale
Food does not need to be consumed within 30 minutes after injection of insulin glargine. This is a characteristic of rapid-acting insulins, not long-acting insulins like glargine.
Choice D rationale
Checking for microalbuminuria if blood glucose levels are above 280 mg/dL is a good practice. Microalbuminuria can be an early sign of kidney damage, which can occur with poorly controlled diabetes.
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