Which drug will the nurse plan to include when teaching a patient who has a new diagnosis of peripheral artery disease (PAD)?
Doxycycline
Apixaban
Atorvastatin
Enoxaparin
The Correct Answer is C
Rationale:
A. Doxycycline: Doxycycline is an antibiotic used to treat bacterial infections. It has no role in the management or prevention of peripheral artery disease and does not affect atherosclerotic plaque or vascular health.
B. Apixaban: Apixaban is an anticoagulant used to prevent thromboembolic events in conditions such as atrial fibrillation or venous thromboembolism. While it affects clotting, it is not a standard therapy for managing the underlying atherosclerosis in peripheral artery disease.
C. Atorvastatin: Atorvastatin is a statin that lowers LDL cholesterol and stabilizes atherosclerotic plaques. It reduces the risk of cardiovascular events and is a cornerstone in the pharmacologic management of peripheral artery disease, helping improve long-term vascular outcomes.
D. Enoxaparin: Enoxaparin is a low molecular weight heparin used for acute anticoagulation and prevention of deep vein thrombosis. It is not routinely indicated for chronic management of peripheral artery disease unless there is a specific thrombotic complication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Use each syringe up to six times: Insulin syringes are designed for single use to maintain sterility and prevent infection. Reusing syringes can increase the risk of contamination, dull needles, and lead to lipodystrophy at the injection site.
B. Pull back on the plunger after injecting the insulin: Aspiration after subcutaneous insulin administration is not recommended. It causes unnecessary discomfort and has no clinical benefit, as blood return is rare in subcutaneous tissue.
C. Store the current bottle of insulin at room temperature: Once in use, an insulin vial can be kept at room temperature for up to 28 days to reduce injection discomfort. Keeping the insulin at room temperature also prevents degradation from repeated refrigeration and warming.
D. Massage the injection site after removing the needle: Massaging the site is discouraged because it can alter insulin absorption rates and increase the risk of hypoglycemia. Gentle pressure may be applied if bleeding occurs, but rubbing the site should be avoided.
Correct Answer is A
Explanation
Rationale:
A. The patient has chest pressure when walking: Rosiglitazone is associated with an increased risk of myocardial ischemia and heart failure. Chest pressure with exertion suggests possible angina, making continuation of this medication unsafe and requiring discontinuation.
B. The patient's blood pressure is 154/92: Hypertension requires management, but it is not a direct contraindication for rosiglitazone. While blood pressure control is important in diabetes, this finding alone does not mandate stopping the drug.
C. The patient's blood glucose is 86 mg/dL: This is a normal fasting glucose level and indicates that diabetes is currently well controlled. It does not necessitate discontinuing rosiglitazone.
D. The patient reports a history of emphysema: Chronic lung disease is not directly affected by rosiglitazone use. While comorbidities require monitoring, emphysema is not a contraindication for the drug.
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