Answer to Question 1
4
Rationale 1: The most frequent, and most potentially serious, adverse effect of anticoagulant and antiplatelet drugs is bleeding.
Rationale 2: Ataxia is not associated with epoetin alfa (Procrit).
Rationale 3: Headache is not associated with epoetin alfa (Procrit).
Rationale 4: Hypertension is a common adverse effect of epoetin alfa.
Global Rationale: The most frequentadverse effect of epoetin alfa (Procrit) is hypertension that may occur in as many as 30 of patients receiving the drug. Blood pressure should be monitored during therapy, and an antihypertensive drug may be indicated.
Answer to Question 2
2
Rationale 1: Epoetin alfa (Epogen) stimulates the production of red blood cells.
Rationale 2: Filgrastim (Neupogen) stimulates the production of white blood cells.
Rationale 3: Dalteparin (Fragmin) is a low molecular weight heparin anticoagulant.
Rationale 4: Warfarin (Coumadin) is an anticoagulant.
Global Rationale: Filgrastim (Neupogen) assists in restoring white blood cell counts in a patient who has suppressed immune system. Filgrastim (Neupogen) stimulates the production of white blood cells.
Nurse-patient interaction; nonverbal communication
The nurse cares for the postop client in the postanesthesia care unit (PACU).
A client is having an endoscopy performed by a physician who views the upper gastrointestinal intern
Nurse's hand over patients abdomen
Inspection of client
Measuring the client’s blood pressure