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Author Question: The nurse understands that the primary indications for use of glycoprotein IIb/IIIa-receptor ... (Read 40 times)

tatyanajohnson

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on: Jul 23, 2018
The nurse understands that the primary indications for use of glycoprotein IIb/IIIa-receptor antagonists are
 
  a. to dislodge venous thrombi and to treat arterial stenosis.
  b. to prevent clots in intravascular devices and to prevent strokes.
  c. to enhance the effects of heparin and for aspirin-allergic patients.
  d. for acute coronary syndromes and percutaneous coronary interventions.

Question 2

The nurse is providing discharge instructions for a patient going home on warfarin (Coumadin). Which of the following statements made by the patient indicates a need for further teaching regarding warfarin?
 
  a. I will avoid participating in heavy contact sports.
  b. I will use my electric razor when shaving.
  c. I will take aspirin if I get a headache.
  d. I will contact my physician if I develop excessive bruising.


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swimkari

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Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: D
The GP IIb/IIIa antagonists are used short term to prevent ischemic events in patients with acute coronary syndromes (unstable angina and nonQ wave MI) and those undergoing percutaneous coronary intervention.
The GP IIb/IIIa antagonists do not dislodge venous thrombi or treat arterial stenosis.
The GP IIb/IIIa antagonists are not indicated to prevent strokes and clotting.
The GP IIb/IIIa antagonists do not enhance the effect of heparin, nor are they used for aspirin-allergic patients.

Answer to Question 2

ANS: C
The patient's comment about taking aspirin for a headache demonstrates the need for further teaching. Aspirin should not be taken concurrently with warfarin, because it increases the effects of warfarin and therefore the risk for bleeding tendencies.
Contact sports can lead to injury, with resultant internal or external bleeding. The patient's comment demonstrates understanding of teaching.
An electric razor should be used rather than a regular razor to avoid potential injury. The patient's comment demonstrates understanding of teaching.
Excessive bruising is an adverse effect and should be reported to the prescriber. The patient's comment demonstrates understanding of teaching.


tatyanajohnson

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Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


swimkari

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Reply #3 on: Jul 23, 2018
Great! Please up vote :D


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