Chapter 26 - Coagulation Modifiers Review Questions with Detailed Answers (Latest Update ) Already Passed

Chapter 26 - Coagulation Modifiers Review Questions with Detailed Answers (Latest Update ) Already Passed A patient is receiving warfarin for a chronic condition. Which patient statement requires immediate action by the nurse? - Answers "I will increase dark-green leafy vegetables in my diet." A patient with deep vein thrombosis is receiving fondaparinux therapy. After reviewing the patient's laboratory reports, the nurse believes that discontinuing the therapy will be beneficial for the patient. Which finding supports the nurse's suspicion? - Answers The patient's platelet count is 75,000 cell/μL Fondaparinux is a selective inhibitor of factor Xa and reduces the risk of clotting The nurse is providing care to a patient who is experiencing adverse reactions related to the administration of 5000 units of heparin. What is the appropriate dose of protamine sulfate, the antidote? Record your answer using a whole number. _______ mg - Answers 1 mg of protamine sulfate can reverse the effects of 100 units of heparin; therefore, 5000 units of heparin effects can be reversed by 50 mg of protamine sulfate. The patient is being treated with abciximab. The nurse assesses the patent's laboratory test results and finds that the platelet count has dropped to 75,000/mm3. What action will the nurse perform next? - Answers Notify the primary care provider of this finding. If at any time during treatment with this drug the platelet count drops below 90,000/mm3, the health care provider should be notified. Protamine sulfate is the antidote for an excessive amount of heparin. After talking with a patient who is receiving warfarin sodium therapy, the nurse believes that the patient is at increased risk for bleeding. Which statement made by the patient supports the nurse's conclusion? - Answers "I take ginkgo supplements for memory enhancement." A nurse is preparing to administer enoxaparin sodium to a patient for prevention of deep vein thrombosis. Which is an essential nursing intervention? - Answers Administer the medication into subcutaneous tissue of the abdomen Which is a National Patient Safety Goal associated with anticoagulation therapy? - Answers Preventing adverse events associated with anticoagulant drugs A patient is admitted to the emergency department experiencing symptoms of a thrombolytic stroke. Which medication should the nurse expect to be prescribed for the patient? - Answers Alteplase Alteplase is a tissue plasminogen activator, which can be administered to treat a thrombolytic stroke within a specified time frame after symptom onset. The nurse is caring for a patient who is being treated with dabigatran and who is scheduled to be placed on phenytoin. The nurse anticipates which effect will occur when the phenytoin is administered? - Answers Decreased effect of the dabigatran Drug interactions include phenytoin (decreased effect) and amiodarone (increased effect). Concomitant use of phenytoin is most likely to result in a decreased effect of dabigatran, not an increased effect, therapeutic effect, or anaphylactic reaction. A patient who has been taking warfarin is admitted with coffee-ground emesis. What can the nurse anticipate being prescribed for this patient? - Answers Vitamin K Vitamin K is the antagonist for warfarin The patient is scheduled to receive argatroban. Which is the correct route by which to administer the drug? - Answers IV A patient who was admitted with deep vein thrombophlebitis is complaining of difficulty breathing and chest pain. What is the most likely cause of these symptoms? - Answers Embolus to the lungs Cilostazol belongs to which drug class? - Answers Antiplatelet