Page 1811 - Saunders Comprehensive Review For NCLEX-RN

Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Assessment
Content Area: Pharmacology: Cardiovascular: Thrombolytics
Health Problem: Adult Health: Respiratory: Pulmonary Embolism
Priority Concepts: Clinical Judgment; Clotting
Reference: Ignatavicius, Workman (2016), pp. 731-732.

640. Answer: 4

Rationale: Flushing is an adverse effect of this medication. Aspirin or a
nonsteroidal antiinflammatory drug, as prescribed, can be taken 30 minutes prior to
taking the medication to decrease flushing. Alcohol consumption needs to be
avoided because it will enhance this effect. The medication should be taken with
meals to decrease gastrointestinal upset; however, taking the medication with meals
has no effect on the flushing. Clay-colored stools are a sign of hepatic dysfunction
and should be reported to the primary health care provider (PHCP) immediately.
Test-Taking Strategy: Focus on the subject, client understanding of the
medication. Alcohol must be abstained from, so this option can be eliminated.
Taking the medication with meals helps decrease the gastrointestinal symptoms
rather than flushing. Clay-colored stools are a sign of hepatic dysfunction and
should be reported to the PHCP immediately.
Level of Cognitive Ability: Evaluating
Client Needs: Physiological Integrity
Integrated Process: Nursing Process—Evaluation
Content Area: Pharmacology: Cardiovascular Medications: Antilipemics
Health Problem: Adult Health: Cardiovascular: Coronary Artery Disease
Priority Concepts: Client Education; Safety
Reference: Burchum, Rosenthal (2016), pp. 578-579.

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