Question

Please can someone help with all ?

1. Which are expected therapeutic effects of digoxin? (select all that apply).

A. Modulation of neurohormonal systems

B. Decreased heart rate

C. Positive inotropic effects

D. Decreased cardiac output

2. A patient with deep vein thrombosis DVT has been treated with heparin. The provider has now decided to discharge the patient and prescribe enoxaparin. The nurse provides teaching for the patient about the advantages of enoxaparin over heparin. Which statement by the patient warrants intervention?

A. Enxoaparin has greater bioavailability than heparin

B. Enoxaparin dose not require coagulation monitoring

C. Enoxaparin may be given

D. Enoxaparin may be given using a fixed dosage

E. Enoxparin has better efficacy than heparin

3. A nursing student is helping a nurse care for a postoperative patient with deep vein thrombosis DVT. The student asks the nurse why the patient is initially being treated with heparin rather than warfarin. Which response by the nurse is correct?

A. Heparin has a longer half-life (warfarin half life 20 hours,heparin half life 3-6hrs)

B. The onset of warfarin is delayed

C. Warfarin prevents platelet aggregation

D. Heparin has fewer adverse effects

Answer 1

1. Answer ; - A) modulation of neurohormonal system
- B) Decreased heart rate
- C) positive Inotropic effect

Reason ; Above mentioned option all explains the therapeutic effect these drugs, these drugs are given to achieve these function in the individual circulatory system. While the other option contain, "decreased cardiac output " will not be done by these drugs.

2. Answer ; B) Enoxaparin does not require coagulation monitoring.

Reason ; All the statement made by the patient are all true about the condition, where as the above mentioned statement requires further clarification to the client. Client had mentioned there is no need for coagulation monitoring while taking these kinds of drugs, but although there is no need for the routine check but there should need to be monitored.

3. Answer ; B) the onset of warfarin is delayed.

Reason ; The nurse should respond to the student nurse, by the above mentioned statement. The usage of warfarin is avoided and instead heparin has been used for these because of the above mentioned option. Other options are not reliable about these two drugs.