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The client receiving heparin therapy asks how the medication works.
Which response by the nurse is most accurate?
a. "Heparin makes the blood less viscous, preventing further clotting."
b. "Heparin dissolves the clot specifically in the affected blood vessels."
c. "Heparin inhibits clotting factors, thereby preventing formation of
new clots."
d. "Heparin decreases the number of platelets, so that blood clots more
slowly." -ANSWER-c
A nurse is preparing discharge teaching for a client who will be
receiving enoxaparin (Lovenox) injection. What should the nurse
include in the teaching plan?
a. Teaching the client to self-administer subcutaneous injections
b. Monitoring the client's lab tests for hepatic impairment
c. Teaching the client to observe for symptoms of anemia
d. Monitoring the client for development of deep vein thrombosis -
ANSWER-a
,The healthcare provider prescribes pentoxifylline (Trental) to a client,
who asks the nurse how the medication works. Which response by the
nurse is most accurate?
a. By dissolving clots in the blood vessels
b. By decreasing platelet aggregation
c. By reducing the viscosity of red blood cells
d. By increasing platelet production -ANSWER-c
The nurse completes a physical assessment on a client receiving
heparin therapy for deep vein thrombosis (DVT). The client complains
of severe lumbar pain. What is the most appropriate action by the
nurse?
a. Reposition the client to promote comfort.
b. Document the finding, and report it to the next nurse.
c. Administer pain medication as prescribed.
d. Evaluate further; this could indicate a complication of drug therapy. -
ANSWER-d
A nurse is reviewing lab values of a client who is on warfarin
(Coumadin) drug therapy. Which lab finding should the nurse report
immediately to the healthcare provider?
, a. aPTT 48 seconds
b. Bleeding time 7 seconds
c. Platelet count 140,000
d. INR 1.2 -ANSWER-d
A client is prescribed enoxaparin (Lovenox) for treatment of a newly
diagnosed left lower extremity deep vein thrombosis (DVT). What
information should the nurse obtain related to the administration of
this drug?
a. Client's weight
b. Serum aPTT
c. Serum PT/INR
d. Angiogram results -ANSWER-a
Alteplase (Activase) is prescribed for a client with an acute episode of
stroke. Which client evaluation is the nurse's priority action?
a. Monitoring aPTT and platelet count
b. Monitoring PT and INR serum levels
c. Monitoring level of consciousness (LOC)
d. Monitoring injection sites -ANSWER-c