You are writing a care plan for a patient who is taking anticoagulant.
What would be an appropriate nursing diagnosis?
Maintain narcan on standby.
Notify the healthcare provider of any patient receiving this drug.
Evaluate patient for PT for 2.5.
Establish safety precautions.
The Correct Answer is D
Choice A rationale
Maintaining narcan (naloxone) on standby is not directly related to anticoagulant therapy. Narcan is used to reverse opioid overdoses, not to manage the effects of anticoagulants.
Choice B rationale
Notifying the healthcare provider of any patient receiving this drug is a general action but not an appropriate nursing diagnosis. Nursing diagnoses focus on identifying specific patient needs and planning care to address those needs.
Choice C rationale
Evaluating the patient for PT (prothrombin time) for 2.5 is an action, not a nursing diagnosis. Nursing diagnoses identify patient needs and risks, guiding the planning and implementation of care.
Choice D rationale
Establishing safety precautions is an appropriate nursing diagnosis for a patient on anticoagulant therapy. Anticoagulants increase the risk of bleeding, so ensuring patient safety and preventing injury is crucial to minimize this risk. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Ineffective health maintenance is appropriate due to the patient's inability to provide names and purposes of medications, indicating insufficient knowledge of their regimen.
Choice B rationale
Noncompliance implies intentional refusal of medication, which is not evident here as the patient is unaware rather than refusing.
Choice C rationale
Acute confusion is not indicated as the patient appears oriented and not disoriented.
Choice D rationale
Risk-prone health behavior is not appropriate as it suggests engagement in harmful activities, which is not described.
Correct Answer is D
Explanation
Choice A rationale
Itching and rash are not common adverse effects associated with calcium-channel blockers. They are more commonly related to other classes of medications.
Choice B rationale
Hypertension and tachycardia are not typical adverse effects of calcium-channel blockers. These medications are usually prescribed to treat hypertension and can actually cause a reduction in heart rate.
Choice C rationale
Nausea and diarrhea are possible side effects of many medications, but they are not specific adverse effects commonly linked to calcium-channel blockers.
Choice D rationale
Headache and dizziness are common adverse effects of calcium-channel blockers. These medications can cause vasodilation, leading to headaches and a decrease in blood pressure, which may result in dizziness, especially when standing up quickly. .
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