Aspirin has been prescribed for a client following a myocardial ...

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Aspirin has been prescribed for a client following a myocardial infarction. Teaching about this medication should include:
 
  1. Take at a different time of day than warfarin.
   2. Report any itching after seven days of taking.
   3. Do not skip any scheduled appointments to have blood drawn for labs.
   4. Check with your health care provider before taking herbal remedies.

Question 2

The nurse is providing care to a client who has experienced several episodes of angina. What is the primary outcome for this client?
 
  1. The client will experience relief of chest pain with anticoagulant therapy.
   2. The client will experience relief of chest pain with therapeutic lifestyle changes.
   3. The client will experience relief of chest pain with aspirin therapy.
   4. The client will experience relief of chest pain with nitrate therapy.

[Swizqar]

Answer to Question 1

4. Check with your health care provider before taking herbal remedies.

Rationale:
Herbal remedies such as evening primrose oil, garlic, gingko biloba, or grapeseed extract can increase the effect of the aspirin. Itching is not a common side effect of aspirin therapy. Aspirin and Coumadin are not to be taken concurrently. No lab appointments will be made just for aspirin therapy.

Answer to Question 2

4. The client will experience relief of chest pain with nitrate therapy.

Rationale:
A primary goal in the treatment of angina is to reduce the intensity and frequency of angina episodes. Rapid-acting organic nitrates are the drugs of choice for terminating an acute angina episode. Anticoagulant therapy is used to prevent additional thrombi from forming postmyocardial infarction; it will not relieve angina pain. Therapeutic lifestyle changes are significant if the client is to maintain a healthy heart, but they will not relieve chest pain; this is accomplished with medications. Aspirin therapy following an acute myocardial infarction dramatically reduces mortality due to its antiplatelet function; it will not relieve angina pain.

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Gracias!

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TYSM