HESI Perfusion - clotting

A nurse prepares to administer extended-release metformin to an older adult who has asked that it be crushed because it is difficult to swallow. What will prompt the nurse to ask the provider for a different form of metformin? 1. This drug has a wax matrix frame that is difficult to crush. 2. The drug has an unpleasant taste, which most clients find intolerable if crushed. 3. If crushed, this drug irritates mucosal tissue and can cause oral and esophageal ulcer formation. 4. Extended-release formulations are designed to be released slowly, and crushing the tablet will prevent this from occurring.

Extended-release formulations are designed to be released slowly, and crushing the tablet will prevent this from occurring.

A nurse is reviewing a list of current medications with a client who has developed gastrointestinal bleeding. Which medication prescription should the nurse discuss with the primary healthcare provider? 1. Digoxin 2. Ibuprofen 3. Famotidine 4. Atorvastatin

Ibuprofen

What should the nurse teach a client who is taking warfarin? 1. Report episodes of spontaneous bleeding. 2. Increase the dose with prolonged inactivity. 3. Take antibiotics, if injured, to prevent infection. 4. Eat a diet with an increased quantity of green vegetables.

Report episodes of spontaneous bleeding. Warfarin is an anticoagulant; therefore, excessive bleeding, especially that which occurs spontaneously and unrelated to injury, may require a dosage adjustment for safety reasons. Activity or inactivity is unrelated to the need to alter the dose of warfarin. The dose should not be altered without healthcare supervision. The problem of bleeding is more significant than infection when a client is taking warfarin. Green vegetables that contain vitamin K, which is necessary for the synthesis of clotting factors VII, IX, and X, should be kept consistent in the diet from week to week; increased consumption will decrease the action of warfarin, and a decreased consumption will increase the action of warfarin.

A client is admitted to the hospital with suspected liver disease, and a needle biopsy of the liver is performed. After the procedure, the nurse should maintain the client in what position? 1. Supine 2. Semi-Fowler 3. Right side-lying 4. Dorsal recumbent

Right side-lying

A child has been diagnosed with hemophilia type A after experiencing excessive bleeding from a minor trauma. How is hemophilia inherited? 1. X-linked recessive trait 2. Y-linked recessive trait 3. X-linked dominant trait 4. Y-linked dominant trait

X-linked recessive trait Hemophilia A is an X-linked recessive trait, not a dominant trait, meaning daughters who have the gene are carriers, and sons with the gene have the condition. The trait is not carried on the Y chromosome.