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)
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"C"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"D"}}
Explanation
Warfarin: Vitamin K is the primary reversal agent for anticoagulation with warfarin. It helps restore normal clotting factor production in the liver.
Heparin: Protamine sulfate is the specific reversal agent for heparin, neutralizing its anticoagulant effects.
Rivaroxaban: Andexanet alfa is a specific reversal agent for rivaroxaban and other Factor Xa inhibitors, reversing their anticoagulant effects.
Beta Blockers: While there is no specific reversal agent, glucagon can help increase heart rate and myocardial contractility in cases of beta-blocker overdose.
Correct Answer is ["A","B","E","F"]
Explanation
A. Rebound hypotension can occur with the abrupt withdrawal of beta-blockers like esmolol, so clients should be advised against suddenly stopping the medication.
B. Vomiting is not a typical or common side effect of esmolol.
C. Bradycardia is a known effect of beta-blockers, including esmolol, and should be monitored.
D. Esmolol can mask the symptoms of hypoglycemia in diabetic patients, which is an important consideration for patient education.
E. Tremors are not commonly associated with esmolol; rather, they might be seen in other conditions or medications.
F. Bronchoconstriction can occur with non-selective beta-blockers; however, esmolol is cardioselective, so the risk is lower but still possible, especially in patients with underlying respiratory conditions.
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