N50 Exam 4: Medications Questions
With Correct Answers
Heparin is an - ANSWER Anticoagulant
warfarin sodium (coumadin) - ANSWER anticoagulant (blood thinner)
A client who has been receiving heparin therapy also is started on warfarin
sodium (coumadin). The client asks the nurse why both medications are being
administered. In formulating a response, the nurse incorporates the
understanding that warfarin sodium: - ANSWER It takes 3-4 days before warfarin
therapeutic effects are achieved, once this happens, heparin can be
discontinued.
Warfarin depresses synthesis of clotting factors but does not have an effect on
clotting factors that are present. Thus taking it 3-4 days for the clotting factors
to become present.
Intravenous heparin therapy is ordered for a client. While implementing this
order, a nurse ensures that which of the following medications is available on
the nursing unit?
A) Vitamin K
B) Aminocaproic acid
C) Potassium chloride
D) Protamine sulfate - ANSWER D) Protamine sulfate
Rational: The antidote to heparin is protamine sulfate and should be readily
available for use if excessive bleeding or hemorrhage should occur
A nurse has an order to begin administering warfarin sodium (coumadin) to a
client. While implementing this order, the nurse ensures that which of the
following medications is available on the nursing unit as the antidote for
Coumadin?
A) Vitamin K
B) Aminocaproic acid
C) Potassium chloride
, D) Protamine sulfate - ANSWER Vitamin K
Rational: The antidote to warfarin (Coumadin) is Vitamin K and should be readily
available for use if excessive bleeding or hemorrhage should occur.
A nurse is caring for a client who had a percutaneous insertion of an inferior
vena cava filter and was on heparin therapy before surgery. The nurse would
inspect the surgical site most closely for signs of:
A) Thrombosis and infection
B) Bleeding and infection
C) Bleeding and wound dehiscence
D) Wound dehiscence and evisceration - ANSWER B) Bleeding and infection
Raional: After inferior vena cava insertion, the nurse inspects the surgical site
for bleeding and signs and symptoms of infection. Otherwise, care is the same
as for any post-op client.
Aneurysms are treated with - ANSWER Long term beta-blocker therapy and
additional antihypertensive drugs as needed to control hr and bp.
antihypertensive drugs - ANSWER used to lower blood pressure
Beta Blockers work by - ANSWER a class of medications that are particularly
used to manage abnormal heart rhythms, and to protect the heart from a second
heart attack after a first heart attack. Decrease cardiac output and block the
release of renin, subsequently decreasing vasoconstriction of the peripheral
vasculature.
Ex: MetoproLOL. AtenoLOL
calcium carbonate vs calcium citrate - ANSWER When taken on an empty
stomach, the body has a much easier time absorbing calcium in its citrate form
vs. its carbonate form. Your body can best absorb calcium in an acidic
environment, and because calcium citrate is an acidic molecule, it doesn't need
stomach acids for easy absorption. ... However, this supplement form typically
contains less elemental calcium per pill than calcium carbonate, and so you may
need to take an increased dose.
Ibuprofen: - ANSWER NSAID, Nonsteroidal anti-inflammatory drug for
ARTHRITIC conditions, relieve pain, reduce fever. Nurse: get history for drug-
drug or drug-herb, do not give if patient has severe renal or liver disease, peptic
ulcer, or bleeding disorder. Asses for GI stress and peripheral edema. Bleeding
time can be prolonged if taken with warfarin. Give med at mealtime or with food
to prevent GI upset. Patient teaching: do not take with aspirin or and
acetaminophen/tylenol. Do not take if pregnant, child, teenager.
With Correct Answers
Heparin is an - ANSWER Anticoagulant
warfarin sodium (coumadin) - ANSWER anticoagulant (blood thinner)
A client who has been receiving heparin therapy also is started on warfarin
sodium (coumadin). The client asks the nurse why both medications are being
administered. In formulating a response, the nurse incorporates the
understanding that warfarin sodium: - ANSWER It takes 3-4 days before warfarin
therapeutic effects are achieved, once this happens, heparin can be
discontinued.
Warfarin depresses synthesis of clotting factors but does not have an effect on
clotting factors that are present. Thus taking it 3-4 days for the clotting factors
to become present.
Intravenous heparin therapy is ordered for a client. While implementing this
order, a nurse ensures that which of the following medications is available on
the nursing unit?
A) Vitamin K
B) Aminocaproic acid
C) Potassium chloride
D) Protamine sulfate - ANSWER D) Protamine sulfate
Rational: The antidote to heparin is protamine sulfate and should be readily
available for use if excessive bleeding or hemorrhage should occur
A nurse has an order to begin administering warfarin sodium (coumadin) to a
client. While implementing this order, the nurse ensures that which of the
following medications is available on the nursing unit as the antidote for
Coumadin?
A) Vitamin K
B) Aminocaproic acid
C) Potassium chloride
, D) Protamine sulfate - ANSWER Vitamin K
Rational: The antidote to warfarin (Coumadin) is Vitamin K and should be readily
available for use if excessive bleeding or hemorrhage should occur.
A nurse is caring for a client who had a percutaneous insertion of an inferior
vena cava filter and was on heparin therapy before surgery. The nurse would
inspect the surgical site most closely for signs of:
A) Thrombosis and infection
B) Bleeding and infection
C) Bleeding and wound dehiscence
D) Wound dehiscence and evisceration - ANSWER B) Bleeding and infection
Raional: After inferior vena cava insertion, the nurse inspects the surgical site
for bleeding and signs and symptoms of infection. Otherwise, care is the same
as for any post-op client.
Aneurysms are treated with - ANSWER Long term beta-blocker therapy and
additional antihypertensive drugs as needed to control hr and bp.
antihypertensive drugs - ANSWER used to lower blood pressure
Beta Blockers work by - ANSWER a class of medications that are particularly
used to manage abnormal heart rhythms, and to protect the heart from a second
heart attack after a first heart attack. Decrease cardiac output and block the
release of renin, subsequently decreasing vasoconstriction of the peripheral
vasculature.
Ex: MetoproLOL. AtenoLOL
calcium carbonate vs calcium citrate - ANSWER When taken on an empty
stomach, the body has a much easier time absorbing calcium in its citrate form
vs. its carbonate form. Your body can best absorb calcium in an acidic
environment, and because calcium citrate is an acidic molecule, it doesn't need
stomach acids for easy absorption. ... However, this supplement form typically
contains less elemental calcium per pill than calcium carbonate, and so you may
need to take an increased dose.
Ibuprofen: - ANSWER NSAID, Nonsteroidal anti-inflammatory drug for
ARTHRITIC conditions, relieve pain, reduce fever. Nurse: get history for drug-
drug or drug-herb, do not give if patient has severe renal or liver disease, peptic
ulcer, or bleeding disorder. Asses for GI stress and peripheral edema. Bleeding
time can be prolonged if taken with warfarin. Give med at mealtime or with food
to prevent GI upset. Patient teaching: do not take with aspirin or and
acetaminophen/tylenol. Do not take if pregnant, child, teenager.
