Practice Question
A nurse in the emergency department is reviewing a medication record for a client who reports vomiting blood. The nurse should anticipate that the provider will discontinue which of the following medications?
Answer Choices:
Correct Answer:
Clopidogrel
Rationale:
🟦 Clopidogrel is an antiplatelet medication that inhibits platelet aggregation and increases bleeding risk.
🟦 In a client with hematemesis, continued use can worsen active gastrointestinal bleeding.
🟦 The priority is to reduce further blood loss and stabilize hemostasis.
🟦 Discontinuing clopidogrel helps prevent continued hemorrhage.
🟦 Antiplatelet agents are routinely stopped during acute bleeding episodes.
❌ Furosemide
🟦 This medication affects fluid balance, not clotting.
🟦 It does not contribute to gastrointestinal bleeding.
❌ NPH insulin
🟦 Insulin does not increase bleeding risk.
🟦 It should be continued unless hypoglycemia is present.
❌ Pantoprazole
🟦 Proton pump inhibitors help reduce gastric acid.
🟦 They are commonly used to treat GI bleeding.
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This question is from RN Pharmacology 2023 Dec 17 which contains 70 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Pharmacology
- Answer Choices: 4