The major purpose for antiplatelet therapy is to:
Inhibit hepatic synthesis of Vitamin K
Decrease tissue necrosis
Suppress platelet aggregation
Dissolve the blood clot
The Correct Answer is C
A. Inhibit hepatic synthesis of Vitamin K: Inhibition of vitamin K synthesis is the mechanism of action for warfarin, an anticoagulant, not antiplatelet drugs. Antiplatelet therapy does not interfere with clotting factor production in the liver.
B. Decrease tissue necrosis: While antiplatelet therapy can reduce the risk of thrombotic events that might lead to tissue ischemia, its primary mechanism is not directly to prevent tissue necrosis but to prevent platelet-mediated clot formation.
C. Suppress platelet aggregation: Antiplatelet drugs, such as aspirin or clopidogrel, work by inhibiting platelet activation and aggregation. This prevents the formation of arterial thrombi, particularly in conditions like coronary artery disease or after stent placement, reducing the risk of myocardial infarction or stroke.
D. Dissolve the blood clot: Thrombolytic agents, not antiplatelet drugs, are responsible for dissolving existing clots. Antiplatelet therapy focuses on preventing new clot formation rather than lysing established thrombi.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
A. Keep the client NPO after midnight: Fasting is not required for a standard ECG. The procedure is noninvasive, quick, and does not involve sedation or contrast, so keeping the client NPO is unnecessary and does not impact the quality of the ECG recording.
B. Wash the skin with plain water before placing the electrodes: To ensure a clean signal and prevent "artifact" (electrical interference), the skin should be cleaned with soap and water or alcohol prep pads to remove body oils and dead skin cells.
C. Administer an analgesic prior to the procedure: ECG placement is painless, so analgesics are not needed. Administering medication unnecessarily could expose the client to side effects without benefit and is not standard practice.
D. Instruct the client not to talk during the test: Talking or moving during the ECG can create artifacts on the tracing that may obscure the rhythm, particularly in atrial fibrillation. Instructing the client to remain still and quiet helps ensure a clear, interpretable recording.
E. Inspect the electrode pads: Checking the electrode pads for damage, dryness, or expiration ensures proper adhesion and conductivity. Faulty electrodes can produce poor-quality tracings and lead to misinterpretation of the cardiac rhythm.
Correct Answer is C
Explanation
A. anti-inflammatory: While aspirin has anti-inflammatory properties, the primary reason it is prescribed for a client with a history of myocardial infarction is not to reduce inflammation but to prevent thrombotic events. Anti-inflammatory effects are secondary in this context.
B. analgesic: Aspirin can relieve mild pain, such as headaches or musculoskeletal discomfort. However, in post-MI management, pain relief is not the therapeutic goal; the focus is on preventing further cardiac events.
C. antiplatelet aggregate: Aspirin inhibits platelet aggregation by irreversibly blocking cyclooxygenase-1 (COX-1) and thromboxane A2 formation. This reduces the risk of clot formation in coronary arteries, preventing recurrent myocardial infarction or other thromboembolic events, which is why it is prescribed at this dosage for post-MI patients.
D. antipyretic: Aspirin can lower fever by affecting the hypothalamic thermoregulatory center, but antipyretic effects are not relevant in the management of a patient with a history of myocardial infarction.
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