Chapter 48- coagulation Exam Questions and Correct Answers Latest Update 2024 (Rated A+)

Chapter 48- coagulation Exam Questions and Correct Answers Latest Update 2024 (Rated A+) A nurse would anticipate the need for an increased dosage of warfarin if the patient was also receiving: Clofibrate amiodarone danazol carbamazepine - Answers Carbamazepine A client is discharged from the hospital with a prescription of warfarin. Which statement indicates successful client teaching? "I will avoid herbal remedies." "I will double a dose if I missed one" "I will eat many leafy spinach salads." - Answers "I will avoid herbal remedies." A nurse will use extreme caution when administering heparin to which patient? A 38-year-old male with peptic ulcer disease A patient with an accelerated heart rate A patient who smokes and drinks occasionally - Answers A 38-year-old male with peptic ulcer disease The client is currently receiving a continuous IV infusion of heparin. Which procedure should the nurse avoid when possible? Giving intramuscular injections Taking noninvasive blood pressure Assessing respirations - Answers Giving intramuscular injections The black box warning associated with warfarin concerns its risk of causing what condition? - Answers Major or fatal bleeding A 75-year-old client presents to the health care provider's office with bleeding gums and multiple bruises. When the nurse reviews the client's drug history, the nurse finds that the client is prescribed aspirin 81 mg/d. What drug may cause increased bleeding when used in conjunction with the aspirin? NSAIDs Antihypertensives - Answers NSAIDs A client is receiving warfarin. The nurse would expect to administer this drug by which route? - Answers oral A client exhibits signs and symptoms of heparin overdose. The nurse would anticipate administering: Vitamin K Protamine sulfate Urokinase Drotrecogin alfa - Answers Protamine sulfate True or False: Heparin is the anticoagulant of choice during lactation. - Answers True What laboratory value will the nurse prioritize when providing care for a client prescribed intravenous heparin? - Answers aPTT A client who has been treated with warfarin after cardiac surgery is found to have an INR of 9.0. Which medication will be administered to assist in the development of clotting factors? - Answers Vitamin K A client who is receiving warfarin has blood in his urinary drainage bag. What medication will likely be prescribed by the health care provider? - Answers Vitamin K A nurse has an order to administer heparin. Before initiating this therapy, a priority nursing assessment will be the client's: - Answers aPTT The nurse is caring for a 76-year-old client who is receiving IV heparin 5000 units q4h. At the initiation of therapy, the client's control activated thromboplastin time (aPTT) was found to be 35 seconds. One hour prior to the next scheduled dose, aPTT is determined to be 92 seconds. Based on this result, the nurse will: - Answers hold the dose and contact the provider The client is prescribed warfarin. His INR is 5.2. At what level is this dose? Subtherapeutic Therapeutic Elevated Within prescribed limits - Answers elevated