Question

a nurse in the emergency department (ed) is caring for a client.
exhibit 1 exhibit 2 exhibit 3
nurses notes
1700:
client reports to ed with reports of chest palpitations, rapid pulse, dizziness, and shortness of breath with ambulation.
provider updated. ecg performed.
1740:
medication prescriptions initiated. telemetry monitor showing atrial fibrillation with rapid ventricular rate (rvr). heart rate is 135/min.
1900:
client reports \feeling better.\ telemetry monitor showing sinus rhythm with occasional short runs of atrial fibrillation. heart rate is 104/min.
a nurse is providing medication teaching to a client who has a new prescription for apixaban. which of the following statements should the nurse make?
select all that apply.
□ \avoid taking nsaids while taking this medication.\
□ \this medication will reduce your risk of stroke.\
□ \there will be no risk for bleeding while taking this medication.\
□ \you can take this medication on an empty stomach or with food.\
□ \you will have to have coagulation laboratory tests performed before starting this medication.\

Explanation:

• Apixaban is an anticoagulant. Non - steroidal anti - inflammatory drugs (NSAIDs) increase the risk of bleeding when taken with anticoagulants, so avoiding NSAIDs is correct.
• Anticoagulants like apixaban reduce the risk of stroke in clients with atrial fibrillation (as the client has atrial fibrillation), so this statement is correct.
• There is a risk of bleeding with apixaban, so the statement about no risk of bleeding is incorrect.
• Apixaban can be taken with or without food, so this statement is correct.
• Apixaban does not require routine coagulation laboratory tests before starting, so this statement is incorrect.

Answer:

• "Avoid taking NSAIDs while taking this medication."
• "This medication will reduce your risk of stroke."
• "You can take this medication on an empty stomach or with food."