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FNP Family Nurse Practitioner Exam Prep

Category - Women's Health Nurse Practitioner

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Your primary care patient Laura had an endarterectomy. 3 weeks later, her cardiologist ordered Clopidogrel (Plavix) 75 mg to be taken once a day at PM.  You understand this prescription is likely to:

  1. Lower the slight fever that a patient had since the operation
  2. Reduce the discomfort at the surgical incision
  3. Help to prevent further clogging of the arteries
  4. Limit the inflammation at the incision
  5. None of the above
Explanation

Answer - C -  Clopidogrel interferes with platelet aggregation that impedes the formation of thrombi. This mechanism is to prevent further clogging of the arteries.  Carotid endarterectomy is a surgical procedure to remove a build-up of fatty deposits (plaque), which cause the narrowing of a carotid artery, the primary blood supply to the brain.  As the primary care provider to Laura, you should monitor for side effects, as well as encourage dietary and exercise behavior that will help limit artery plaque buildup and improve cardiovascular health. 

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