The following day, you care for C.B. again. She is now on oral ...

[viki]

The following day, you care for C.B. again. She is now on oral metoprolol, amiodarone, aspirin, and clopidogrel (Plavix). The norepinephrine and heparin have been discontinued. VS are stable.
 
  Which laboratory test result should you check before beginning the clopidogrel therapy?
  a. PT/INR
  b. aPTT
  c. Platelet count
  d. Potassium

Question 2

Because the case manager determined that M.M. lived in an apartment with poor access, M.M. elects to stay with her daughter and five grandchildren in their small home. A home care nurse comes three times a week to check on her.
 
  M.M. is easily fatigued, and the children are quite lively. School is out for the summer.
 
  Suggest some ways for M.M.'s daughter to ensure that her mother is not overwhelmed and does not become exhausted in this situation.

[joshraies]

Answer to Question 1

Answer: c
Thrombocytopenia is a possible side effect of clopidogrel therapy; a baseline platelet count
should be performed.

Answer to Question 2

 Even if M.M. can't have her own room, arrange for her to have a quiet corner where she can
withdraw as needed.
 Establish a nap time every day when she will not be disturbed.
 Keep the children occupied with a video (or something they would enjoy) to keep them quiet for
specific times each day.
 Ask the children who are able to follow directions to take turns helping their grandmother during
certain times of the day.
 Ask whether there is a responsible friend or relative with a van or large vehicle who can take M.M.
for a brief daily drive or out for a refreshment to help her get out of the house on a regular basis.
This is best followed by a nap.

[viki]

Correct answers!

[joshraies]

Great! Please up vote