Question 1

A client is prescribed ticlopidine (Ticlid)after a myocardial infarction and stent placement.How should the nurse explain the action of this medication to the client?
Select all that apply.

Accepted Answer

Ticlopidine (Ticlid) is an antiplatelet medication that makes platelets less sticky (B), alters platelet function for their lifespan (C), and decreases the blood's ability to clot (D). It does not dissolve clots (A) and does not work like heparin (E).

Question 2

A client who has hemophilia A is scheduled for a minor surgical procedure.The client states,I'm worried about this surgery.My doctor told me I had to come to the hospital for some kind of treatment a week before it.What is that all about?" Which responses by the nurse is the most appropriate?
Select all that apply.

Accepted Answer

- Hemophilia A is a genetic disorder that impairs the body's ability to make blood clots, a process needed to stop bleeding. Treatment often involves replacing the missing clotting factor VIII to prevent and treat bleeding episodes. Before surgery, a patient with hemophilia A may receive a dose of clotting factor concentrate to ensure their blood will clot properly during and after the procedure. This is why options C ("You will be given a test dose of a medication used to increase your clotting factors.") and D ("This visit is related to your hemophilia and keeping you safe during the surgery.") are correct. These responses directly address the client's condition and the reason for pre-surgical treatment.

Question 3

During health history assessment,an adult client says,I've been told I have some sort of bleeding disorder,but I'm not certain." Which responses by the nurse are the most appropriate?
Select all that apply.

Accepted Answer

A) Asking about von Willebrand disease is appropriate as it is one of the most common inherited bleeding disorders.
C) Inquiring about a family history of bleeding disorders is important as many of these conditions have a genetic component.
D) Asking about personal experience with excessive bleeding or easy bruising can help determine if the client has a bleeding disorder. Option B is not correct as there are bleeding disorders that affect women, such as von Willebrand disease. Option E is incorrect as some bleeding disorders may not present symptoms until later in life.

Question 4

A client has been taking oral anticoagulant therapy for a number of years secondary to atrial fibrillation.Which client statement alerts the nurse to assess more closely for the development of drug-induced hepatitis?
Select all that apply.

Accepted Answer

B) Light yellow stools can indicate liver problems, as the liver is responsible for bile production, which affects stool color. C) Itching skin without a rash can be a symptom of liver dysfunction, as the buildup of bile salts in the skin can cause itching.

Question 5

The nurse is providing discharge teaching regarding anticoagulant therapy.Which statements by the client would the nurse evaluate as indicating the need for further instruction?
Select all that apply.

Accepted Answer

C) Cooking does not inherently increase the risk of bleeding associated with anticoagulant therapy, suggesting a misunderstanding.D) Using an electric toothbrush with firm bristles can increase the risk of gum bleeding while on anticoagulant therapy, indicating a need for further instruction on oral hygiene practices to prevent bleeding.E) The statement about a "B₁₂ injection monthly" is nonsensical and indicates confusion or a misunderstanding about the medication regimen, suggesting the need for further clarification on the prescribed anticoagulant therapy.

Quiz 38: Pharmacotherapy of Coagulation Disorders

A client is prescribed ticlopidine (Ticlid) after a myocardial infarction and stent placement.How should the nurse explain the action of this medication to the client? Select all that apply.

During health history assessment,an adult client says,I've been told I have some sort of bleeding disorder,but I'm not certain." Which responses by the nurse are the most appropriate? Select all that apply.

A client has been taking oral anticoagulant therapy for a number of years secondary to atrial fibrillation.Which client statement alerts the nurse to assess more closely for the development of drug-induced hepatitis? Select all that apply.

The nurse is providing discharge teaching regarding anticoagulant therapy.Which statements by the client would the nurse evaluate as indicating the need for further instruction? Select all that apply.