Certified Medical-Surgical Registered Nurse Practice Exam

What is an essential nursing responsibility when managing patients with a history of clots?

1. Encourage ambulation

2. Administer anticoagulants as prescribed

3. Perform daily assessments for swelling

4. Ensure hydration is maintained

The correct answer is: Administer anticoagulants as prescribed

Administering anticoagulants as prescribed is a critical nursing responsibility for patients with a history of clots because these medications are specifically designed to prevent the formation of new clots and to reduce the risk of existing clots growing larger. By following the prescribed anticoagulation therapy, nurses actively contribute to enhancing patient outcomes and preventing complications such as deep vein thrombosis or pulmonary embolism. It is also important to recognize that the administration of anticoagulants must be accompanied by careful monitoring of the patient for signs of bleeding or other adverse effects, as well as ensuring that the anticoagulation levels remain within the therapeutic range. This reinforces the nursing role in medication safety and patient advocacy while managing thrombotic risks.