TEST BANK FOR ABRAMS’ CLINICAL DRUG THERAPY FOR
NURSING BEGINNERS LATEST EDITION!! BY FRANDSEN &
PENNINGTON ISBN 9781975222321 VERIFIED AND
UPDATED{SUCCESS ASSURED}
A client is being discharged from the hospital with warfarin to be taken at home. Which
food should the client be instructed to avoid?
A. eggs
B. dairy products
C. citrus fruits
D. spinach
D. spinach
A client is discharged from the hospital with a prescription for warfarin. Which statement
by the client indicates successful client teaching?
A. "I'll stop taking vitamin C supplements."
B. "I will avoid ginseng and St. John's wort."
C. "I will eat plenty of spinach or broccoli daily."
D. "I will discontinue my other medications."
B. "I will avoid ginseng and St. John's wort."
A client is being administered heparin IV and has been started on warfarin. The client asks
the nurse why both medications have been prescribed. What is the nurse's most accurate
response?
A. "A low dose of both drugs carries fewer risks for adverse effects than a larger dose
of one drug."
B. "You will need both warfarin and heparin for several weeks until you're cleared by
your health care provider."
C. "Warfarin takes 3-5 days to develop anticoagulant effects so you still need
heparin."
D. "Warfarin cannot be given without heparin due to the amount of anticoagulation
you need."
C. "Warfarin takes 3-5 days to develop anticoagulant effects so you still need
heparin."
,A client is prescribed eptifibatide, which inhibits platelet aggregation by preventing
activation of GP IIb/IIIa receptors on the platelet surface and the subsequent binding of
fibrinogen and von Willebrand factor to platelets. Which syndrome is treated with
eptifibatide?
A. Blocked carotid arteries
B. Intermittent claudication
C. Hypertension
D. Unstable angina
D. Unstable angina
A client is receiving IV heparin every 6 hours. An activated partial thromboplastin time
(aPTT) is drawn 1 hour before the 08:00 am dose. The PTT is 92 seconds. What is the
most appropriate action by the nurse?
A. Give the next two doses at the same time.
B. Give the dose and chart the client response.
C. Check the client's vital signs and give the dose.
D. Hold the dose and the call the aPTT result to the health care provider's attention.
D. Hold the dose and the call the aPTT result to the health care provider's attention.
A client is taking warfarin to prevent clot formation related to atrial fibrillation. How are
the effects of the warfarin monitored?
A. RBC
B. aPTT
C. PT and INR
D. Platelet count
C. PT and INR
A client taking warfarin after open heart surgery reports pain in both knees that began this
week. The nurse notes bruises on both knees. Based on the effects of the medications and
the report of pain, what should the nurse suspect is the cause of the pain?
A. Joint thrombosis
B. Torn medial meniscus
C. Degenerative joint disease caused by her medication
D. Bleeding
D. Bleeding
A client who is recovering in hospital from a bilateral mastectomy has developed minor
bleeding at one of the incision sites. During the process of clot formation, plasminogen
will become part of a clot by which means?
A. By binding with fibrin
,B. By binding with platelets
C. By activating plasmin
D. By activating factor VII
A. By binding with fibrin
A 55-year-old client has been diagnosed with coronary artery disease and begun
antiplatelet therapy. The client has asked the nurse why a "blood thinner like warfarin"
hasn't been prescribed. What is the most likely rationale for the clinician's use of an
antiplatelet agent rather than an anticoagulant?
A. Antiplatelet agents do not require the client to undergo frequent blood work;
anticoagulants require constant blood work to ensure safety.
B. Antiplatelet agents are more effective against arterial thrombosis; anticoagulants
are more effective against venous thrombosis.
C. Antiplatelet agents are most effective in large vessels; anticoagulants are most
effective in the small vessels of the peripheral circulation.
D. Antiplatelet agents have fewer adverse effects than anticoagulants.
B. Antiplatelet agents are more effective against arterial thrombosis; anticoagulants
are more effective against venous thrombosis.
A nurse at a long-term care facility is conducting a medication reconciliation for a client
who has just moved into the facility. The client is currently taking clopidogrel. The nurse
is most justified suspecting that this client has a history of what condition?
A. Hemorrhagic cerebrovascular accident
B. Hemophilia A
C. Idiopathic thrombocytopenic purpura (ITP)
D. Myocardial infarction
D. Myocardial infarction
A 79-year-old client has been brought to the emergency department by ambulance with
signs and symptoms of ischemic stroke. The care team would consider the immediate
(STAT) administration of what drug?
A. Low-molecular-weight heparin
B. Vitamin K
C. clopidogrel
D. Alteplase
D. Alteplase
, A 50-year-old client has undergone a bunionectomy and has been admitted to the
postsurgical unit. What aspect of the client's medical history would contraindicate the use
of heparin for deep vein thrombosis (DVT) prophylaxis?
A. Obesity
B. Diagnosis of ulcerative colitis
C. Myocardial infarction (MI) 18 months ago.
D. Diagnosis of type 2 diabetes mellitus
B. Diagnosis of ulcerative colitis
A client with atrial fibrillation was prescribed 20 mg rivaroxaban daily, beginning 2 weeks
ago. Prior to administering the scheduled dose, the nurse will perform which action?
A. Ensure the client has recently eaten.
B. Confirm patency of the client's IV access.
C. Confirm the client's most recent international normalized ratio (INR).
D. Confirm the client's most recent D-dimer.
A. Ensure the client has recently eaten.
A client with atrial fibrillation has been prescribed dabigatran etexilate. When monitoring
for adverse effects, the nurse should prioritize which assessment?
A. assessment for bleeding
B. heart rate and rhythm
C. monitoring for anaphylaxis
D. observing for hypercoagulable state
A. assessment for bleeding
A client has been admitted to the emergency department with signs and symptoms
consistent with a stroke. Alteplase is being considered by the care team to minimize the
effects of stroke. Prior to initiating this treatment, the nurse and the other members of the
care will perform what action?
A. Confirm the stroke is ischemic and not hemorrhagic.
B. Obtain the client's blood type and cross-match.
C. Determine whether the client has taken any anticoagulants in the past 72 hours.
D. Ensure the family is aware of the high risks of alteplase therapy.
A. Confirm the stroke is ischemic and not hemorrhagic.
A client has been receiving a heparin infusion for the treatment of pulmonary embolism.
The client has developed a GI bleed and the care team has been made aware. Which
action(s) should the nurse perform? Select all that apply.
A. Review the correct administration of protamine sulfate.
B. Ensure the client has a patent, reliable IV access.
NURSING BEGINNERS LATEST EDITION!! BY FRANDSEN &
PENNINGTON ISBN 9781975222321 VERIFIED AND
UPDATED{SUCCESS ASSURED}
A client is being discharged from the hospital with warfarin to be taken at home. Which
food should the client be instructed to avoid?
A. eggs
B. dairy products
C. citrus fruits
D. spinach
D. spinach
A client is discharged from the hospital with a prescription for warfarin. Which statement
by the client indicates successful client teaching?
A. "I'll stop taking vitamin C supplements."
B. "I will avoid ginseng and St. John's wort."
C. "I will eat plenty of spinach or broccoli daily."
D. "I will discontinue my other medications."
B. "I will avoid ginseng and St. John's wort."
A client is being administered heparin IV and has been started on warfarin. The client asks
the nurse why both medications have been prescribed. What is the nurse's most accurate
response?
A. "A low dose of both drugs carries fewer risks for adverse effects than a larger dose
of one drug."
B. "You will need both warfarin and heparin for several weeks until you're cleared by
your health care provider."
C. "Warfarin takes 3-5 days to develop anticoagulant effects so you still need
heparin."
D. "Warfarin cannot be given without heparin due to the amount of anticoagulation
you need."
C. "Warfarin takes 3-5 days to develop anticoagulant effects so you still need
heparin."
,A client is prescribed eptifibatide, which inhibits platelet aggregation by preventing
activation of GP IIb/IIIa receptors on the platelet surface and the subsequent binding of
fibrinogen and von Willebrand factor to platelets. Which syndrome is treated with
eptifibatide?
A. Blocked carotid arteries
B. Intermittent claudication
C. Hypertension
D. Unstable angina
D. Unstable angina
A client is receiving IV heparin every 6 hours. An activated partial thromboplastin time
(aPTT) is drawn 1 hour before the 08:00 am dose. The PTT is 92 seconds. What is the
most appropriate action by the nurse?
A. Give the next two doses at the same time.
B. Give the dose and chart the client response.
C. Check the client's vital signs and give the dose.
D. Hold the dose and the call the aPTT result to the health care provider's attention.
D. Hold the dose and the call the aPTT result to the health care provider's attention.
A client is taking warfarin to prevent clot formation related to atrial fibrillation. How are
the effects of the warfarin monitored?
A. RBC
B. aPTT
C. PT and INR
D. Platelet count
C. PT and INR
A client taking warfarin after open heart surgery reports pain in both knees that began this
week. The nurse notes bruises on both knees. Based on the effects of the medications and
the report of pain, what should the nurse suspect is the cause of the pain?
A. Joint thrombosis
B. Torn medial meniscus
C. Degenerative joint disease caused by her medication
D. Bleeding
D. Bleeding
A client who is recovering in hospital from a bilateral mastectomy has developed minor
bleeding at one of the incision sites. During the process of clot formation, plasminogen
will become part of a clot by which means?
A. By binding with fibrin
,B. By binding with platelets
C. By activating plasmin
D. By activating factor VII
A. By binding with fibrin
A 55-year-old client has been diagnosed with coronary artery disease and begun
antiplatelet therapy. The client has asked the nurse why a "blood thinner like warfarin"
hasn't been prescribed. What is the most likely rationale for the clinician's use of an
antiplatelet agent rather than an anticoagulant?
A. Antiplatelet agents do not require the client to undergo frequent blood work;
anticoagulants require constant blood work to ensure safety.
B. Antiplatelet agents are more effective against arterial thrombosis; anticoagulants
are more effective against venous thrombosis.
C. Antiplatelet agents are most effective in large vessels; anticoagulants are most
effective in the small vessels of the peripheral circulation.
D. Antiplatelet agents have fewer adverse effects than anticoagulants.
B. Antiplatelet agents are more effective against arterial thrombosis; anticoagulants
are more effective against venous thrombosis.
A nurse at a long-term care facility is conducting a medication reconciliation for a client
who has just moved into the facility. The client is currently taking clopidogrel. The nurse
is most justified suspecting that this client has a history of what condition?
A. Hemorrhagic cerebrovascular accident
B. Hemophilia A
C. Idiopathic thrombocytopenic purpura (ITP)
D. Myocardial infarction
D. Myocardial infarction
A 79-year-old client has been brought to the emergency department by ambulance with
signs and symptoms of ischemic stroke. The care team would consider the immediate
(STAT) administration of what drug?
A. Low-molecular-weight heparin
B. Vitamin K
C. clopidogrel
D. Alteplase
D. Alteplase
, A 50-year-old client has undergone a bunionectomy and has been admitted to the
postsurgical unit. What aspect of the client's medical history would contraindicate the use
of heparin for deep vein thrombosis (DVT) prophylaxis?
A. Obesity
B. Diagnosis of ulcerative colitis
C. Myocardial infarction (MI) 18 months ago.
D. Diagnosis of type 2 diabetes mellitus
B. Diagnosis of ulcerative colitis
A client with atrial fibrillation was prescribed 20 mg rivaroxaban daily, beginning 2 weeks
ago. Prior to administering the scheduled dose, the nurse will perform which action?
A. Ensure the client has recently eaten.
B. Confirm patency of the client's IV access.
C. Confirm the client's most recent international normalized ratio (INR).
D. Confirm the client's most recent D-dimer.
A. Ensure the client has recently eaten.
A client with atrial fibrillation has been prescribed dabigatran etexilate. When monitoring
for adverse effects, the nurse should prioritize which assessment?
A. assessment for bleeding
B. heart rate and rhythm
C. monitoring for anaphylaxis
D. observing for hypercoagulable state
A. assessment for bleeding
A client has been admitted to the emergency department with signs and symptoms
consistent with a stroke. Alteplase is being considered by the care team to minimize the
effects of stroke. Prior to initiating this treatment, the nurse and the other members of the
care will perform what action?
A. Confirm the stroke is ischemic and not hemorrhagic.
B. Obtain the client's blood type and cross-match.
C. Determine whether the client has taken any anticoagulants in the past 72 hours.
D. Ensure the family is aware of the high risks of alteplase therapy.
A. Confirm the stroke is ischemic and not hemorrhagic.
A client has been receiving a heparin infusion for the treatment of pulmonary embolism.
The client has developed a GI bleed and the care team has been made aware. Which
action(s) should the nurse perform? Select all that apply.
A. Review the correct administration of protamine sulfate.
B. Ensure the client has a patent, reliable IV access.
