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

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. While the administration schedule is partly correct, the maximum number of doses should not exceed 3 in 15 minutes without contacting emergency services.

B. Nitroglycerin is not a first-line treatment for hypertension; it is primarily used for angina relief.

C. Nitroglycerin does not dissolve clots; it works by relaxing and dilating blood vessels to improve blood flow and reduce chest pain.

D. This statement accurately describes the action of nitroglycerin, emphasizing its role in dilating blood vessels and improving oxygen delivery to the heart muscle.

A. "Depending on the level of your PT/INR, the clot will begin to dissolve." B. "Heparin goes not dissolve clots. It stops new clots from forming" C. "It usually takes heparin at least 2 to 3 days to reach a therapeutic blood level." D. "After the first dose, the clot will begin to dissolve."

Correct Answer is B

Explanation

A. PT/INR is more relevant for monitoring anticoagulant therapy like warfarin, not heparin.

B. This response is accurate; heparin prevents further clot formation but does not dissolve existing clots, which can take time for the body to reabsorb.

C. Heparin begins to exert its effects quickly, and therapeutic levels are not measured by PT/INR but by aPTT or anti-factor Xa levels.

D. Clots do not dissolve immediately after the first dose of heparin; the medication's role is to prevent clot extension.

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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)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has angina about nitroglycerin sublingual tablets. Which of the following statements should the nurse include in the teaching?

Correct Answer is D

Explanation

A nurse is caring for a client who is diagnosed with a deep vein thrombosis (DVT) and is receiving heparin. The client asks the nurse how long it will take for the heparin to dissolve the clot, which of the following responses should the nurse give?

Correct Answer is B

Explanation

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)?

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