How would a nurse explain the action of pentoxifylline (Trental) ...

[vHAUNG6011]

How would a nurse explain the action of pentoxifylline (Trental) to a client?
 
  1. Pentoxifylline is given to dissolve clots.
  2. Pentoxifylline acts by increasing platelet production.
  3. Pentoxifylline increases fibrin production.
  4. Pentoxifylline reduces the viscosity of red blood cells.

Question 2

The nurse is planning care for a client prescribed enoxaparin (Lovenox). Which interventions should be included?
 
  Standard Text: Select all that apply.
  1. Teach the client or family to give subcutaneous injections at home.
  2. Monitor for development of deep vein thrombosis.
  3. Monitor multiple lab tests.
  4. Teach the client signs of excessive bleeding.
  5. Schedule administration times right before breakfast and the evening meal.

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Answer to Question 1

Correct Answer: 4
Rationale 1: Pentoxifylline does not dissolve clots.
Rationale 2: Pentoxifylline does not increase platelet production.
Rationale 3: Pentoxifylline does not increase fibrin production.
Rationale 4: Pentoxifylline acts on red blood cells to decrease their viscosity, increasing their flexibility and allowing them to enter vessels that are partially occluded and prevent thrombi formation.
Global Rationale: Pentoxifylline acts on red blood cells to decrease their viscosity, increasing their flexibility and allowing them to enter vessels that are partially occluded and prevent thrombi formation. Pentoxifylline does not dissolve clots, increase platelet production, or increase fibrin production.

Answer to Question 2

Correct Answer: 1,2,4
Rationale 1: Family and clients can be taught to give subcutaneous injections at home.
Rationale 2: Lovenox is used to prevent DVTs. The nurse should observe for the development of DVTs.
Rationale 3: Lovenox is a low-molecular-weight heparin (LMWH), and does not require multiple lab tests.
Rationale 4: Although Lovenox is more predictable than are other anticoagulants and has fewer adverse effects, bleeding is still a possibility.
Rationale 5: Lovenox is generally administered once daily, and administration time is not tied to mealtimes.
Global Rationale: Family and clients can be taught to give subcutaneous injections at home. Lovenox is used to prevent DVTs. The nurse should observe for the development of DVTs. Although Lovenox is more predictable than are other anticoagulants and has fewer adverse effects, bleeding is still a possibility. Lovenox is a low-molecular-weight heparin (LMWH), and does not require multiple lab tests. Lovenox is generally administered once daily, and administration time is not tied to mealtimes.

[vHAUNG6011]

Both answers were spot on, thank you once again

[asdfasdf]

Great! Please up vote