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 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.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"D"}

Explanation

aPTT (Activated Partial Thromboplastin Time) is the primary lab test used to monitor the effectiveness of unfractionated heparin therapy. Heparin works by activating antithrombin III, which inhibits thrombin and factor Xa, thus prolonging the aPTT. Monitoring aPTT helps ensure that the heparin dose is therapeutic and reduces the risk of bleeding.

PT-INR (Prothrombin Time - International Normalized Ratio) is used to monitor patients on warfarin therapy. Warfarin inhibits vitamin K-dependent clotting factors, which affects the prothrombin time (PT). The INR standardizes PT results, allowing for consistent monitoring of anticoagulation status. It is critical to maintain the INR within the therapeutic range to balance the risk of thrombosis against the risk of bleeding.

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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

The nurse is caring for a client following a myocardial infarction (MI) and prescribed asprin 325mg PO daily. Which of following effects of this medication would this client benefit from following a MI?

Correct Answer is D

Explanation

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"D"}

Explanation

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