HESI Compass exit proctored exam
Following a cardiac catheterization and placement of a stent in the right coronary artery, the nurse administers prasugrel to the client. To monitor for adverse effects from the medication, which assessment is most important for the nurse to include in this client's plan of care?
Explanation & Rationale
Choice A reason: Assessing skin turgor is important for hydration status but not specifically related to prasugrel.Choice B reason: Observing the color of urine is important as it can indicate hematuria (blood in the urine), a potential adverse effect of prasugrel, which is an antiplatelet medication that increases the risk of bleeding.Choice C reason: Checking for pedal edema is important for overall cardiovascular assessment but not specifically related to monitoring adverse effects of prasugrel.Choice D reason: Measuring body temperature is important for detecting infection but not specifically related to prasugrel's adverse effects.
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