A patient who is obese is preparing to have surgery. To help ...

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A patient who is obese is preparing to have surgery. To help prevent venous thromboembolism (VTE), the primary care NP should prescribe:
 
  a. low-dose aspirin once daily.
  b. clopidogrel (Plavix) 75 mg once daily.
  c. enoxaparin (Lovenox) 30 mg twice daily.
  d. warfarin (Coumadin) titrated to achieve an INR of 3.5.

Question 2

A child with chronic allergic symptoms uses an intranasal steroid for control of symptoms. At this child's annual well-child checkup, the NP should carefully review this child's:
 
  a. urinalysis.
  b. blood pressure.
  c. height and weight.
  d. liver function tests.

[xiaomengxian]

Answer to Question 1

C
The American College of Clinical Pharmacy recommends against the use of aspirin alone for prophylaxis of VTE. Patients undergoing surgery who are at moderate to high risk for VTE should receive unfractionated heparin or low-molecular-weight heparin, such as enoxaparin. Aspirin may be part of the prophylaxis regimen. Clopidogrel and warfarin are not recommended.

Answer to Question 2

C
Intranasal corticosteroids can cause growth suppression in children. When using intranasal steroids in children, the lowest dosage should be used for the shortest period of time necessary, and growth should be routinely monitored. It is not necessary to evaluate urine, blood pressure, or liver function because of intranasal steroid use.

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Gracias!

[samiel-sayed]

Thanks for the timely response, appreciate it