When teaching about clopidogrel (Plavix), the nurse will tell the ...

[lbcchick]

When teaching about clopidogrel (Plavix), the nurse will tell the patient with cerebral atherosclerosis
 
  a. to monitor and record the blood pressure daily.
  b. that Plavix will dissolve clots in the cerebral arteries.
  c. that Plavix will reduce cerebral artery plaque formation.
  d. to call the health care provider if stools are bloody or tarry.

Question 2

A 73-year-old patient with a stroke experiences facial drooping on the right side and right-sided arm and leg paralysis. When admitting the patient, which clinical manifestation will the nurse expect to find?
 
  a. Impulsive behavior
  b. Right-sided neglect
  c. Hyperactive left-sided tendon reflexes
  d. Difficulty comprehending instructions

[ergserg]

Answer to Question 1

ANS: D
Clopidogrel (Plavix) inhibits platelet function and increases the risk for gastrointestinal bleeding, so patients should be advised to notify the health care provider about any signs of bleeding. The medication does not lower blood pressure, decrease plaque formation, or dissolve clots.

Answer to Question 2

ANS: D
Right-sided paralysis indicates a left-brain stroke, which will lead to difficulty with comprehension and use of language. The left-side reflexes are likely to be intact. Impulsive behavior and neglect are more likely with a right-side stroke.

[lbcchick]

Correct answers!

[ergserg]

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