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 C
Explanation
Choice A rationale
Monitoring the weekly pulse is not sufficient for managing ventricular arrhythmias at home. Continuous or daily monitoring of vital parameters is more effective.
Choice B rationale
Monitoring daily fluid intake is essential for overall health but not directly related to the management of ventricular arrhythmias with propranolol (Inderal).
Choice C rationale
Daily blood pressure monitoring is crucial for patients on propranolol, as this medication can significantly lower blood pressure, and tracking it helps prevent hypotension.
Choice D rationale
Weekly weight monitoring is important for patients with heart conditions, but daily monitoring of blood pressure is more directly related to the management of ventricular arrhythmias with propranolol.
Correct Answer is C
Explanation
Choice A rationale
Anticholinergic drugs do not cause pupil restriction; they relax the muscles around the eye, leading to dilation.
Choice B rationale
Decreased lacrimal secretions are a secondary effect of anticholinergics and not their primary purpose in ophthalmology.
Choice C rationale
Anticholinergics cause pupil dilation (mydriasis) by relaxing the muscles that constrict the pupil, allowing for a better examination of the eye's interior.
Choice D rationale
Sedation is not a primary effect of anticholinergics used in ophthalmology.
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