vSim - Rachael Heidebrink
Based on the finding of a pulmonary embolism, the nurse determines that Rachel
Heidebrink is at most risk for developing - CORRECT ANSWER-respiratory failure;
acute respiratory distress syndrome
Based on Rachael Heidebrink's diagnosis of pulmonary embolism, the nurse anticipates
administering ____, which will require priority monitoring for ____. - CORRECT
ANSWER-apixaban, bleeding
When planning care for Rachael Heidebrink, the nurse places priority on which of the
following? - CORRECT ANSWER-Monitoring for bleeding
Monitoring for tachypnea
Assessing pain level
Monitoring surgical site
The nurse understands that if a patient is prescribed a direct factor Xa inhibitor, the
patient will be instructed to do which of the following? - CORRECT ANSWER-Monitor
for bleeding and bruising
A patient receiving heparin by intravenous infusion reports coughing up blood. Which of
the following medications should the nurse anticipate administering? - CORRECT
ANSWER-Protamine sulfate
A patient taking warfarin at home presents to the clinic with a bloody nose. Assessment
findings include fresh bruising on arms and legs and bleeding gums. Which of the
following interventions should the nurse anticipate implementing based on these signs
and symptoms? - CORRECT ANSWER-Administer vitamin K injection
The nurse is completing a medication reconciliation on a patient who has been recently
prescribed an anticoagulant. Which of the following medications would be
contraindicated with an anticoagulant? - CORRECT ANSWER-NSAID
A patient has been diagnosed with a deep vein thrombosis (DVT). Which of the
following statements describes how a DVT initially develops? - CORRECT ANSWER-
Damage to the vessel lining causes platelet aggregation, which traps red blood cells
A patient is receiving warfarin for prevention of venous thrombosis after knee
replacement. Which of the following laboratory tests will be used to determine dose
adjustment of this drug? - CORRECT ANSWER-International normalized ratio
Based on the finding of a pulmonary embolism, the nurse determines that Rachel
Heidebrink is at most risk for developing - CORRECT ANSWER-respiratory failure;
acute respiratory distress syndrome
Based on Rachael Heidebrink's diagnosis of pulmonary embolism, the nurse anticipates
administering ____, which will require priority monitoring for ____. - CORRECT
ANSWER-apixaban, bleeding
When planning care for Rachael Heidebrink, the nurse places priority on which of the
following? - CORRECT ANSWER-Monitoring for bleeding
Monitoring for tachypnea
Assessing pain level
Monitoring surgical site
The nurse understands that if a patient is prescribed a direct factor Xa inhibitor, the
patient will be instructed to do which of the following? - CORRECT ANSWER-Monitor
for bleeding and bruising
A patient receiving heparin by intravenous infusion reports coughing up blood. Which of
the following medications should the nurse anticipate administering? - CORRECT
ANSWER-Protamine sulfate
A patient taking warfarin at home presents to the clinic with a bloody nose. Assessment
findings include fresh bruising on arms and legs and bleeding gums. Which of the
following interventions should the nurse anticipate implementing based on these signs
and symptoms? - CORRECT ANSWER-Administer vitamin K injection
The nurse is completing a medication reconciliation on a patient who has been recently
prescribed an anticoagulant. Which of the following medications would be
contraindicated with an anticoagulant? - CORRECT ANSWER-NSAID
A patient has been diagnosed with a deep vein thrombosis (DVT). Which of the
following statements describes how a DVT initially develops? - CORRECT ANSWER-
Damage to the vessel lining causes platelet aggregation, which traps red blood cells
A patient is receiving warfarin for prevention of venous thrombosis after knee
replacement. Which of the following laboratory tests will be used to determine dose
adjustment of this drug? - CORRECT ANSWER-International normalized ratio
