Author Question: Anticoagulant therapy may be used for which situation(s)? (Select all that apply.) a. To prevent ... (Read 45 times)

moongchi · **on:** Jul 24, 2018

Anticoagulant therapy may be used for which situation(s)? (Select all that apply.)

a. To prevent stroke in patients at high risk
b. Following a myocardial infarction
c. Following total hip or knee joint replacement surgery
d. With DVT
e. To prevent thrombosis in immobilized patients
f. Peptic ulcer disease

Question 2

Rivaroxaban (Xarelto) is ordered on a patient following knee replacement surgery. When providing education on this medication to the patient, the nurse conveys that treatment will continue

a. only while hospitalized.
b. for 35 days postsurgically.
c. for 12 days postsurgically.
d. as long as creatinine clearance is less than 30.

Ahernandez18 · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: A, B, C, D, E
Anticoagulant therapy is used to treat patients at high risk for stroke; patients with thromboembolic diseases, such as myocardial infarction; those at risk of developing thrombus resulting from underlying medical conditions or disease; and patients with thromboembolic diseases, such as DVT. Anticoagulant therapy is not used to treat patients with peptic ulcer disease.

Answer to Question 2

ANS: C
It is recommended that patients undergoing knee replacement continue treatment with rivaroxaban for 12 days postsurgically. It is recommended that patients undergoing hip replacement surgery continue treatment for 35 days postsurgically. Rivaroxaban should not be administered to patients with a creatinine clearance less than 30 ml/min.