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Pharm 2
Antiplatelet Therapy
Question | Answer |
---|---|
A nurse is preparing to administer clopidogrel and aspirin to a patient who has an altered CYP2C19 gene. Which action would the nurse take? | Notify the health care provider. |
A nurse is preparing to administer clopidogrel to a patient who has previously complained of dyspepsia 2 hours after taking the drug. Which action would the nurse take? | Administer the drug with a small amount of food. |
A patient is prescribed clopidogrel and aspirin at 9:00 a.m. Which action would the nurse take? | Administer both drugs at 9:00 a.m. |
Routine medications were prescribed to resume for a patient who returned from major knee surgery 1 hour ago. The nurse is preparing to administer these medications, including clopidogrel. Which action would the nurse take? | Administer the clopidogrel. |
The nurse is providing teaching education to a patient who is being discharged with prescriptions for clopidogrel and aspirin. The patient tells the nurse that fresh garlic is used to season many of the foods eaten. Which response would the nurse make? | "Avoid garlic. It can increase chance of bleeding." |
A patient states that clopidogrel is causing an upset stomach. Which instruction would the nurse provide? | "Take the clopidogrel with food." |
A patient is started on clopidogrel and reports hematuria to the nurse before receiving the morning dose. The nurse has placed a call to the health care provider and is waiting for a response. Which action would the nurse take next? | administer the medication |
A patient is on the tenth day of a clopidogrel regimen and presents with a temperature of 102.1oF and total urine output of 200 mL over 24 hours. The patient is disoriented. Which adverse effect would the nurse suspect? | Thrombotic thrombocytopenia purpura (TTP) reaction |
A nurse is preparing clopidogrel for several patients. Patients with which conditions should receive the drug? | -Prevention of thrombosis -Acute Coronary syndrome -Coronary Artery Stents |
How many days does it take for platelet aggregation to return to baseline once clopidogrel is discontinued? | 5 days |