Pharmacology Blood Thinners #6

Question

What should the nurse teach a client who is a farmer, who takes acetylsalicylic acid for stroke prevention therapy and reports to the clinic nurse that it sometimes takes a while to stop the bleeding for minor cuts on his arms while working?

Answers

  1. Apply pressure with a clean cloth until the bleeding stops
    • Rationale:

      This answer is correct because the client should be taught that if excessive bleeding occurs, they should place a clean cloth on the site and apply pressure until the bleeding stops. Something should not be wrapped too tightly around an extremity since circulation can be compromised, especially if left for any amount of time. Since the wound is open, cleanliness is important to reduce infection risk.

  2. Wrap anything that is available and apply as a tourniquet above the cut
    • Rationale:

      This answer is not correct because a tourniquet is not necessary for a minor cut. This could cause circulation compromise when the only thing needed is applying pressure with a clean cloth until the bleeding stops.

  3. Run warm water over the wound until bleeding stops
    • Rationale:

      This answer is not correct because running warm water over the cut will cause vasodilation and more bleeding will occur. The best teaching is applying pressure with a clean cloth until the bleeding stops.

  4. Apply kerlix wrapped tightly around the area for at least an hour
    • Rationale:

      This answer is not correct because applying kerlix wrapped tightly around the area for at least an hour will compromise circulation. Wrapping anything around an extremity for any amount of time will compress the vessels and cause circulation to be impeded. The best teaching is applying pressure with a clean cloth until the bleeding stops.

Overview

A client experiencing excessive bleeding while taking acetylsalicylic acid should be taught to apply pressure with a clean cloth until the bleeding stops.

Explanation

Learning Outcomes

Acetylsalicylic acid (ASA) or aspirin is an antiplatelet. It is often used to prevent clots in clients but can cause prolonged bleeding to occur. The client should be taught that if excessive bleeding occurs, they should place a clean cloth on the site and apply pressure until the bleeding stops. Since the wound is open, cleanliness is important to reduce infection risk. Something should not be wrapped too tightly around an extremity since circulation can be compromised, especially if left for any amount of time.

Test Taking Tip

Remember to not impede circulation during nursing interventions.

Video Rationale