Question

A patient who is taking clopidogrel [Plavix] calls the nurse to report black, tarry stools and coffee-ground emesis. The nurse will tell the patient to:

a. ask the provider about using aspirin instead of clopidogrel.
b. consume a diet high in vitamin K.
c. continue taking the clopidogrel until talking to the provider.
d. stop taking the clopidogrel immediately.

Answer 1

The nurse will tell the patient to continue taking the clopidogrel until talking to the provider. The patient should consult their healthcare provider for guidance before making any changes to their medication. Discontinuing the medication without proper guidance may increase the risk of adverse cardiovascular events.

Step-by-step explanation:

The nurse will tell the patient to:

a. ask the provider about using aspirin instead of clopidogrel.

b. consume a diet high in vitamin K.

c. continue taking the clopidogrel until talking to the provider.

d. stop taking the clopidogrel immediately.

The correct answer is c. continue taking the clopidogrel until talking to the provider.

The patient is experiencing black, tarry stools and coffee-ground emesis, which indicate gastrointestinal bleeding. These symptoms can be a side effect of clopidogrel, a medication that prevents blood clots by inhibiting platelet aggregation. Though the symptoms may be concerning, it is important for the patient to consult their healthcare provider before making any changes to their medication. Discontinuing the clopidogrel without proper guidance from the provider may increase the risk of adverse cardiovascular events.