Author Question: A patient has decrease mobility in all joints. Because of the lack of mobility, the nurse expects ... (Read 29 times)

imanialler · **on:** Jul 22, 2018

A patient has decrease mobility in all joints. Because of the lack of mobility, the nurse expects the health care provider to order what medication to prevent venous thromboembolisms that will reduce the side effect of hemorrhage?

a. Oral anticoagulant
b. Aspirin
c. Low-molecular-weight heparin
d. Unfractionated heparin

Question 2

A young adult was involved in a motor vehicle accident and suffers from brain trauma. The patient has decrease mobility in all joints. The nurse should assess for which common, debilitating contracture?

a. Lordosis
b. Bowlegs
c. Footdrop
d. Kyphosis

coreycathey · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
Newer low-molecular-weight (LMW) heparins such as ardeparin and enoxaparin are being prescribed in place of older forms of unfractionated heparin. The LMW heparins have a more predictable anticoagulant effect. Low-molecular-weight heparin compared with unfractionated heparin reduces the occurrence of major hemorrhage as a side effect.
Heparin is an anticoagulant that suppresses clot formation. This therapy requires a health care provider's order. Aspirin and oral anticoagulants increase the risk for hemorrhage.

Answer to Question 2

C
One common and debilitating contracture is footdrop. When footdrop occurs, the foot is permanently in plantar flexion. Patients are no longer able to walk when this occurs. Lordosis is the exaggeration of the anterior convex curve of the lumbar spine caused by a congenital condition or a temporary condition such as pregnancy. Bowlegs (genu varum) is one or both legs bent outward at the knee, which is normal until 2 to 3 years of age and is caused by a congenital condition or rickets. Kyphosis is the increased convexity in curvature of thoracic spine for a congenital condition, rickets, osteoporosis, or tuberculosis of the spine.