The nurse is caring for a client who suffers from frequent blood clots and currently taking argatroban (Hospira). Which of the following conditions in the client's medical history would require them to take argatroban (Hospira)?
Heparin induced thrombocytopenia.
Myocardial infarction
Gastrointestinal Bleeding
Hepatotoxicity
The Correct Answer is A
A. Argatroban is specifically indicated for patients with heparin-induced thrombocytopenia (HIT), as it is a direct thrombin inhibitor that does not cause further platelet depletion.
B. Myocardial infarction is treated with different classes of anticoagulants or antiplatelet medications, not specifically argatroban.
C. Gastrointestinal bleeding would generally be a contraindication to anticoagulation therapy rather than an indication for argatroban use.
D. Hepatotoxicity could be a concern when using argatroban, especially as it is metabolized in the liver, but it does not indicate a need for this medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Atenolol is a beta-blocker used for various cardiac conditions but is not typically the first-line treatment for acute ventricular dysrhythmias.
B. Lisinopril is an ACE inhibitor, which is not indicated for immediate management of ventricular dysrhythmias.
C. Procainamide is an antiarrhythmic medication specifically used to treat ventricular dysrhythmias and would be appropriate in this scenario.
D. Adenosine is typically used for rapid atrial dysrhythmias, not specifically for ventricular dysrhythmias, making procainamide the better choice.
Correct Answer is D
Explanation
A. While aspirin has anti-inflammatory properties, this is not the primary reason it is prescribed after an MI.
B. Aspirin does not primarily function as an anti-pyretic in this context; its use is focused on cardiovascular benefits.
C. Aspirin does not have antiemetic properties and is not indicated for nausea control.
D. Inhibiting platelet aggregation is the key therapeutic effect of aspirin in preventing further clot formation, which is critical following an MI to reduce the risk of subsequent cardiovascular events.
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