The practical nurse (PN) is caring for a client with deep vein thrombosis (DVT) who is receiving a prescription for rivaroxaban.
Which assessment finding should the PN associate as an adverse effect of this medication and report immediately?
Diminished ability to taste and smell food.
Genital itching and burning with discharge.
Hard, dry stools that are difficult to pass.
Appearance of bruising in arms and legs.
The Correct Answer is D
The correct answer is Choice D. Rationale:
Rivaroxaban is an anticoagulant medication used to treat and prevent blood clots. One of the common side effects of rivaroxaban is bruising. This occurs because rivaroxaban prevents blood clots by thinning the blood, which can lead to increased bleeding and bruising. If a patient on rivaroxaban presents with the appearance of bruising in arms and legs, it could indicate excessive bleeding, which is a serious side effect that should be reported immediately.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is Choice D, Hold the medication until the meal tray arrives. Acarbose is an oral antidiabetic medication that works by slowing the digestion of carbohydrates in the small intestine, thereby reducing the rise in blood glucose after meals. It is important to take acarbose at the start of each main meal, as it works on the food that is consumed. If the meal is delayed, the medication should also be delayed.
Correct Answer is B
Explanation
Choice A rationale
Encouraging the patient to share his concerns about the care plan is important, but it does not directly address the patient’s question about why his temperature is being taken.
Choice B rationale
Promethazine is a medication that can cause a variety of side effects, including changes in body temperature. Therefore, monitoring the patient’s temperature can help assess for potential side effects of the medication. This is the most direct and relevant response to the patient’s question.
Choice C rationale
While it’s true that vital signs are often taken routinely, this does not specifically address why the patient’s temperature is being taken in this particular instance, four hours after
administering promethazine.
Choice D rationale
While promethazine can affect body temperature, it is not primarily used to lower body
temperature. Therefore, explaining that the medication works to lower body temperature may not be entirely accurate or relevant in this context.
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