A client is prescribed rivaroxaban 20 mg once daily for cont… | MyMerci
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Medication Administration PPT
Question

A client is prescribed rivaroxaban 20 mg once daily for continued treatment of a deep vein thrombosis. Which statement by the client indicates correct understanding?

Explanation
Rivaroxaban 15 mg and 20 mg doses should be taken with food to ensure adequate absorption. The client should use the prescribed missed-dose instructions and should not stop therapy independently.
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In-depth explanation

Quick answer
Take rivaroxaban 20 mg with food at a consistent time.

Why this is correct
Food increases the bioavailability of the 20 mg dose. Consistent daily administration helps maintain the prescribed anticoagulant effect.

Easy analogy or mental picture
Food is the boarding pass that helps the higher rivaroxaban dose enter reliably.

Memory hook
15 and 20 need food; 10 does not.

NCLEX decision rule
Match teaching to the exact strength and indication rather than applying one administration rule to every dose.

Why the other choices are wrong
Fasting reduces 20 mg exposure, minor bruising requires assessment rather than self-discontinuation, and a missed once-daily dose is not corrected by doubling the next day.
References
1DailyMed: Rivaroxaban tabletsFood and missed-dose administration instructions
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For study reference only. Always follow current clinical guidelines and your institution’s protocols.