Direct thrombin inhibitors (DTIs)

Direct thrombin inhibitors (DTIs) ( 5 Questions)

A nurse is teaching a client who has a new prescription for dabigatran to prevent stroke. Which of the following instructions should the nurse include? (Select all that apply.)



Correct Answer: ["B","C","D"]

Dabigatran is an anticoagulant that prevents blood clots and stroke. It can cause bleeding as a side effect, so the client should report any signs of bleeding, such as bruising, hematuria, or melena. The client should also use a soft toothbrush and an electric razor to prevent injury and bleeding. Dabigatran should be stored in its original container to maintain potency and protect it from moisture.

Choice A is wrong because dabigatran does not need to be taken with food to prevent gastrointestinal upset. It can be taken with or without food.

Choice E is wrong because dabigatran does not require regular blood tests to monitor the drug level. Unlike warfarin, dabigatran has a predictable anticoagulant effect and does not need frequent dose adjustments.




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