Author Question: Assessment of a patient's right lower extremity reveals swelling and warmth, and the patient reports ... (Read 47 times)

tnt_battle · **on:** Jul 23, 2018

Assessment of a patient's right lower extremity reveals swelling and warmth, and the patient reports pain in the extremity. The nurse would anticipate the administration of which drug?

a. Aspirin (ASA)
b. Clopidogrel (Plavix)
c. Enoxaparin (Lovenox)
d. Bivalirudin (Angiomax )

Question 2

A nurse has just admitted a female patient to the medical-surgical unit for a recurrent urinary tract infection. Which finding should alert the nurse that the patient may be experiencing major depression?

a. A patient who reports sleeping 14 to 16 hours per day for the past 3 months.
b. A patient who states, I feel pretty emotional about once a month.
c. A patient who comments, I have asked my sister to help me at home until I am feeling stronger.
d. A patient who says, I'm a bit of a loner. I love to read and surf the Internet.

softEldritch · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

C
The patient's clinical manifestations correlate with deep vein thrombosis, and enoxaparin is in-dicated for the treatment of established DVT.
Aspirin is used to prevent arterial thrombosis.
Clopidogrel is indicated for prevention of stenosis of coronary stents and secondary prevention of myocardial infarction (MI) and ischemic strokes.
Bivalirudin is indicated for patients with unstable angina who are undergoing coronary angiop-lasty.

Answer to Question 2

A
A major depressive episode may manifest as hypersomnia or insomnia; these patients also take no pleasure or interest in their usual activities or pastimes.
Feeling emotional once a month may be premenstrual syndrome and is not indicative of major depression.
Asking a sister to assist at home is a positive action and not indicative of major depression.
Being a loner is not problematic, especially when the person is interested in other pastimes; therefore, this is not indicative of major depression.