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The nurse is caring for a client who currently has a deep vein thrombosis. Which of the following medications would be administered to lyse existing clots? (Select All that Apply.)

Aspirin

Low-molecular weight Heparin

Heparin

alteplase (Activase)

warfarin (Coumadin)

anistreplase (Eminase)

Answer and Explanation

Correct Answer : D,F

A. Aspirin is an antiplatelet medication that prevents new clots but does not actively lyse existing clots.

B. Low-molecular weight heparin is primarily used for preventing clot formation rather than lysing existing clots.

C. Heparin prevents further clot formation but does not dissolve existing clots.

D. Alteplase (Activase) is a thrombolytic agent specifically indicated for the dissolution of existing clots in acute situations like deep vein thrombosis.

E. Warfarin is an anticoagulant that prevents clotting but does not directly lyse clots; it is used for long-term management.

F. Anistreplase (Eminase) is another thrombolytic agent used to lyse existing clots and is indicated in similar situations.

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Correct Answer is ["675"]

Explanation

To calculate the dosage of vancomycin, we first convert the client's weight from pounds to kilograms, knowing that 1 kilogram is approximately 2.2 pounds. The client weighs 198 pounds, which is equivalent to about 90 kilograms (198 lb / 2.2). The prescribed dose is 15 mg/kg/day, so for a 90 kg individual, this would be 1350 mg/day (15 mg/kg * 90 kg). Since the dose is divided equally every 12 hours, the nurse would administer half of the daily dose every 12 hours, resulting in 675 mg per dose (1350 mg/day / 2). Therefore, the nurse should administer 675 mg of vancomycin with each dose.

A. doxazosin B. carvedilol C. lisinopril D. Clonidine

Correct Answer is C

Explanation

A. Doxazosin is an alpha-1 blocker that can be used for hypertension but is not a first-line option.

B. Carvedilol is a beta-blocker used in heart failure and post-MI but is not the first choice for initial hypertension treatment.

C. Lisinopril, an ACE inhibitor, is widely recognized as a first-line treatment for hypertension due to its effectiveness and favorable side effect profile.

D. Clonidine is generally not considered a first-line treatment for hypertension due to potential side effects and the availability of more effective alternatives.

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The nurse is caring for a client who currently has a deep vein thrombosis. Which of the following medications would be administered to lyse existing clots? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse prepares to administer vancomycin 15 mg/kg/day divided equally every 12 hr. The client weighs 198 lb. How many mg should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["675"]

Explanation

The nurse is caring for a client newly diagnosed with hypertension and requires medication therapy. Which of the following medications below is considered a first line treatment for hypertension?

Correct Answer is C

Explanation

A client with hypertension and benign prostate hyperplasia is prescribed doxazosin (Cardura). Which of the following statements below would the nurse emphasize regarding doxazosin (Cardura)?

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