vSim - Rachael Heidebrink
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 is receiving heparin intravenously. The patient's coagulation control values are
activated partial thromboplastin time (aPTT) 32 seconds, prothrombin time (PT) 12
seconds, INR 0.8, and WBCT 110 seconds. Which of the following lab values would
indicate that the heparin is therapeutic? - CORRECT ANSWER-aPTT: 68 seconds
A patient has been prescribed heparin by continuous intravenous infusion for deep vein
thrombosis. The initial infusion rate prescribed is 18 units/kg/hr. The patient weighs 61.4
kg. Heparin for infusion is available as 25,000 units in 250 mL of 5% dextrose and water
(D5W). How many milliliters of heparin would be infused per hour? (Round answer to
the nearest tenth.) ___________ mL/hr - CORRECT ANSWER-11.l mL/hr
An elderly patient has been prescribed a direct factor Xa inhibitor. Before giving the
medication, the nurse should check which of the following values? - CORRECT
ANSWER-Creatinine clearance
The nurse recognizes that which of the following factors would place Rachael
Heidebrink at a higher risk for the development of a pulmonary embolism? - CORRECT
ANSWER-Use of birth control pills
History of cigarette smoking
Immobilization from surgery
Fractured right greater trochanter
The nurse is performing a focused cardiopulmonary assessment of Rachael Heidebrink
and recognizes which of the following findings as potential manifestations of a
pulmonary embolism? - CORRECT ANSWER-Tachypnea
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 is receiving heparin intravenously. The patient's coagulation control values are
activated partial thromboplastin time (aPTT) 32 seconds, prothrombin time (PT) 12
seconds, INR 0.8, and WBCT 110 seconds. Which of the following lab values would
indicate that the heparin is therapeutic? - CORRECT ANSWER-aPTT: 68 seconds
A patient has been prescribed heparin by continuous intravenous infusion for deep vein
thrombosis. The initial infusion rate prescribed is 18 units/kg/hr. The patient weighs 61.4
kg. Heparin for infusion is available as 25,000 units in 250 mL of 5% dextrose and water
(D5W). How many milliliters of heparin would be infused per hour? (Round answer to
the nearest tenth.) ___________ mL/hr - CORRECT ANSWER-11.l mL/hr
An elderly patient has been prescribed a direct factor Xa inhibitor. Before giving the
medication, the nurse should check which of the following values? - CORRECT
ANSWER-Creatinine clearance
The nurse recognizes that which of the following factors would place Rachael
Heidebrink at a higher risk for the development of a pulmonary embolism? - CORRECT
ANSWER-Use of birth control pills
History of cigarette smoking
Immobilization from surgery
Fractured right greater trochanter
The nurse is performing a focused cardiopulmonary assessment of Rachael Heidebrink
and recognizes which of the following findings as potential manifestations of a
pulmonary embolism? - CORRECT ANSWER-Tachypnea
