The nurse has received a prescription for rivaroxaban. The nurse understands that this medication is prescribed to treat which condition?
The nurse has received a prescription for rivaroxaban. The nurse understands that this medication is prescribed to treat which condition?
A. Pulmonary Hypertension
[6%]
B. Venous Thromboembolism (VTE)
[76%]
C. Congestive Heart Failure
[8%]
D. Hyperlipidemia
[10%]
Statistics
Subject/Lesson
Subject
Pharmacology
Lesson
Cardiovascular
Client Need
Test Plan
Pharmacological and Parenteral Therapies
Related Topic
Expected Actions/Outcomes
Item Type
Item Type
Knowledge/Comprehension
Explanation
Choice B is correct. Rivaroxaban is a factor Xa inhibitor and is commonly prescribed for the prevention and treatment of venous thromboembolism (VTE), which encompasses deep vein thrombosis (DVT) and pulmonary embolism (PE). An advantage of rivaroxaban is that no therapeutic monitoring is required, unlike warfarin.
Choice A is incorrect. Pulmonary hypertension is a condition characterized by increased blood pressure in the pulmonary arteries, which supply the lungs. Rivaroxaban is not a standard treatment for pulmonary hypertension.
Choice C is incorrect. Congestive heart failure (CHF) is a condition in which the heart is unable to pump blood effectively, leading to symptoms such as fluid retention, shortness of breath, and fatigue. While anticoagulant medications like rivaroxaban may be used in some cases of heart disease to prevent clot formation in the atria (e.g., in atrial fibrillation), they are not typically prescribed primarily for CHF.
Choice D is incorrect. Hyperlipidemia refers to high levels of lipids (cholesterol and triglycerides) in the blood. The primary treatment for hyperlipidemia is lifestyle modifications (diet and exercise) and lipid-lowering medications, such as statins, fibrates, or bile acid sequestrants. Rivaroxaban is not a medication used to lower lipid levels.
Related Videos
4 Key Topics
Deep Vein Thrombosis
18.7 Venous Disorders
Anticoagulants
6.10 Hematology Drugs
Additional Info
✓ Nurses should provide thorough education to clients prescribed rivaroxaban. This includes explaining the purpose of the medication, proper dosing, administration timing, potential side effects, and the importance of compliance with the prescribed regimen.
✓ This medication may be used for a client with atrial fibrillation to prevent a stroke.
✓ The medication requires no therapeutic monitoring and can be taken with or without food.
✓ The antidote for this medication is andexanet. Andexanet alfa is specifically indicated as a reversal agent for certain anticoagulants known as factor Xa inhibitors, which include rivaroxaban (Xarelto) and apixaban (Eliquis). It is used in cases of life-threatening bleeding or the need for urgent surgery when these anticoagulants need to be quickly reversed.
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