Nur 219 Exam 4 Practice Questions With v v v v v v
All Answers Correct
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A patient is receiving an intravenous infusion of heparin to treat a pulmonary embolism. What laboratory
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value will you monitor to evaluate treatment with this medication?
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A. Activated partial thromboplastin time (aPTT)
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B. Prothrombin time (PT)
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C. Platelet count
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D. Hemoglobin and hematocrit - CORRECT ANSWER✔✔A. activated partial thromboplastin time (aPTT)
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Which of the following patients needs an increased dose of warfarin [Coumadin] to have the same
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anticoagulant effect?
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A. Patient taking acetaminophen [Tylenol] for back pain
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B. Patient taking cimetidine [Tagamet] to prevent gastric ulcers
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C. Patient taking oral contraceptives to prevent pregnancy
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D. Patient taking prednisone [Deltasone] for rheumatoid arthritis - CORRECT ANSWER✔✔C. patient taking
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oral contraceptives to prevent pregnancy
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What is the antidote for heparin?
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, A. Ferrous sulfate
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B. Atropine sulfate
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C. Protamine sulfate
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D. Magnesium sulfate - CORRECT ANSWER✔✔C. protamine sulfate
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Your patient diagnosed with a DVT has been started on intravenous heparin and oral warfarin. The patient
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asks you why two medications are necessary. Your best response is:
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A. "Heparin will start to dissolve the clot and warfarin will prevent any more clots from forming."
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B. "Because of the potential for complications, it is important for you to take more than one anticoagulant."
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C. "The heparin will work immediately, but the warfarin takes several days to have an effect on blood
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coagulation."
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D. "Administration of two anticoagulants reduces the risk for recurrent deep vein thrombosis." - CORRECT
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ANSWER✔✔C. "The heparin will work immediately, but the warfarin takes several days to have an effect on
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blood coagulation."
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To protect against widespread coagulation, the body must inactivate clotting factors which stray way from
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the injured vessel. Inactivation of clotting factors is accomplished by:
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A. Factor XII (Hageman Factor)
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B. Tissue Thromboplastin
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C. Anti-thrombin
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D. Plasminogen - CORRECT ANSWER✔✔C. Anti-thrombin
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What is the antidote for warfarin (Coumdin) overdose?
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A. Protamine Sulfate
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B. Vitamin K
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C. Vitamin C
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All Answers Correct
v v v
A patient is receiving an intravenous infusion of heparin to treat a pulmonary embolism. What laboratory
v v v v v v v v v v v v v v v
value will you monitor to evaluate treatment with this medication?
v v v v v v v v v v
A. Activated partial thromboplastin time (aPTT)
v v v v v
B. Prothrombin time (PT)
v v v
C. Platelet count
v v
D. Hemoglobin and hematocrit - CORRECT ANSWER✔✔A. activated partial thromboplastin time (aPTT)
v v v v v v v v v v v
Which of the following patients needs an increased dose of warfarin [Coumadin] to have the same
v v v v v v v v v v v v v v v
anticoagulant effect?
v v
A. Patient taking acetaminophen [Tylenol] for back pain
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B. Patient taking cimetidine [Tagamet] to prevent gastric ulcers
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C. Patient taking oral contraceptives to prevent pregnancy
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D. Patient taking prednisone [Deltasone] for rheumatoid arthritis - CORRECT ANSWER✔✔C. patient taking
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oral contraceptives to prevent pregnancy
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What is the antidote for heparin?
v v v v v
, A. Ferrous sulfate
v v
B. Atropine sulfate
v v
C. Protamine sulfate
v v
D. Magnesium sulfate - CORRECT ANSWER✔✔C. protamine sulfate
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Your patient diagnosed with a DVT has been started on intravenous heparin and oral warfarin. The patient
v v v v v v v v v v v v v v v v
asks you why two medications are necessary. Your best response is:
v v v v v v v v v v v
A. "Heparin will start to dissolve the clot and warfarin will prevent any more clots from forming."
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B. "Because of the potential for complications, it is important for you to take more than one anticoagulant."
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C. "The heparin will work immediately, but the warfarin takes several days to have an effect on blood
v v v v v v v v v v v v v v v v v
coagulation."
v
D. "Administration of two anticoagulants reduces the risk for recurrent deep vein thrombosis." - CORRECT
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ANSWER✔✔C. "The heparin will work immediately, but the warfarin takes several days to have an effect on
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blood coagulation."
v v
To protect against widespread coagulation, the body must inactivate clotting factors which stray way from
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the injured vessel. Inactivation of clotting factors is accomplished by:
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A. Factor XII (Hageman Factor)
v v v v
B. Tissue Thromboplastin
v v
C. Anti-thrombin
v
D. Plasminogen - CORRECT ANSWER✔✔C. Anti-thrombin
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What is the antidote for warfarin (Coumdin) overdose?
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A. Protamine Sulfate
v v
B. Vitamin K
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C. Vitamin C
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