patho exam 4 homework UPDATED ACTUAL Questions and CORRECT
Answers
Question: The laboratory calls to report a drop in the platelet count to 90,000/mm 3 for a patient receiving
heparin for the treatment of postoperative deep vein thrombosis. Which action by the nurse is the most
appropriate?
Correct Answer: Call the healthcare provider to discuss the reduction or withdrawal of heparin.
Question: The nurse is caring for a patient who is undergoing treatment with heparin therapy. The nurse
assesses the patient's activated partial thromboplastin time (aPTT) and finds it to be 98 seconds. How will
the nurse interpret this finding?
Correct Answer: The level is outside the expected target therapeutic level of anticoagulation; it is too high
Question: The nurse is preparing to administer an anticoagulant to a patient. Which action, if observed, is
in error?
Correct Answer: The nurse administers enoxaparin intramuscularly to a patient
Question: A patient who is receiving heparin therapy has bruises covering the abdomen as well as
red-colored urine. What does the nurse need to assess?
Correct Answer: Platelet level
Question: The nurse is reviewing laboratory data before initiating a patient's heparin infusion. Which
finding requires immediate action?
Correct Answer: Platelets 95,000/mm 3
Question: In which patient would a low-dose aspirin be contraindicated?
Correct Answer: a pt with hemorrhagic stroke
Question: The patient is receiving warfarin therapy, and the nurse finds the international normalized ratio
(INR) to be 4.0. How will the nurse interpret this finding?
Correct Answer: The level is outside the expected target therapeutic level of anticoagulation: it is too high.
Question: The nurse is monitoring a patient receiving alteplase for treatment of a massive pulmonary
embolism. Which finding indicates that the therapy is effective?
Correct Answer: Pulse oxygen saturation increased
Question: The nurse is teaching a patient about therapy with anticoagulants. What is essential information
to include in the teaching plan?
Correct Answer: Anticoagulants prevent clots from forming
Question: The nurse determines that the patient has understood the discharge teaching regarding warfarin
based on which of the patient's statements?
Correct Answer: "I should use a soft toothbrush for dental hygiene."
Question: The patient has been placed on aspirin as an antiplatelet drug. Which side effect is the patient
most likely to experience?
Correct Answer: Nausea
, Question: The patient is scheduled to receive argatroban. Which is the correct route by which to administer
the drug?
Correct Answer: Intravenous
Question: A patient is receiving an intravenous heparin drip. Which laboratory value requires immediate
action by the nurse?
Correct Answer: Activated partial thromboplastin time (aPTT) of 120 seconds
Question: A patient with an acute myocardial infarction is prescribed an intravenous (IV) bolus of
tenecteplase. The patient weighs 160 pounds (approximately 73 kg). What dosage should the nurse
administer?
Correct Answer: 40mg
Question: A patient with warfarin toxicity is prescribed phytonadione. Which nursing assessment ensures
patient safety?
Correct Answer: Assess the prothrombin time (PT)
Question: The patient is being treated with heparin. The nurse assesses the patent's laboratory test results
and finds that the platelet count has dropped to 75,000/mm 3. What action will the nurse perform next?
Correct Answer: Notify the primary healthcare provider of this finding
Question: A patient is started on warfarin therapy while also receiving intravenous heparin. The patient is
concerned about the risk for bleeding. What will the nurse tell the patient?
Correct Answer: "It usually takes about 3 days to achieve a therapeutic effect for warfarin, so the heparin
is continued until the warfarin is therapeutic."
Question: A bleeding patient receiving warfarin has an international normalized ratio (INR) of 6. What is
the nurse's best course of action?
Correct Answer: Administer phytonadione
Question: A patient who has been receiving an infusion of heparin has an activated partial thromboplastin
time (aPTT) of 120 seconds. What is the nurse's first action?
Correct Answer: shut off the heparin drip
Question: The nurse is caring for a patient who takes warfarin for prevention of deep vein thrombosis. The
patient has an international normalized ratio (INR) of 1.2. How should the nurse interpret this finding?
Correct Answer: INR is too low; the dose may need to be increased
Question: The nurse is monitoring a patient receiving reteplase therapy. Which assessment finding requires
the most immediate action?
Correct Answer: change in mental status
Question: The nurse is administering tenecteplase therapy to a patient experiencing an acute myocardial
infarction. What will the nurse teach the patient about this therapy?
Correct Answer: "This therapy will dissolve the clot that caused the heart attack
Question: The nurse assesses the patient's prothrombin time (PT) to determine the effectiveness of
anticoagulant therapy and notes that it is 32 seconds. How will the nurse interpret this value?
Correct Answer: The PT is significantly elevated
Answers
Question: The laboratory calls to report a drop in the platelet count to 90,000/mm 3 for a patient receiving
heparin for the treatment of postoperative deep vein thrombosis. Which action by the nurse is the most
appropriate?
Correct Answer: Call the healthcare provider to discuss the reduction or withdrawal of heparin.
Question: The nurse is caring for a patient who is undergoing treatment with heparin therapy. The nurse
assesses the patient's activated partial thromboplastin time (aPTT) and finds it to be 98 seconds. How will
the nurse interpret this finding?
Correct Answer: The level is outside the expected target therapeutic level of anticoagulation; it is too high
Question: The nurse is preparing to administer an anticoagulant to a patient. Which action, if observed, is
in error?
Correct Answer: The nurse administers enoxaparin intramuscularly to a patient
Question: A patient who is receiving heparin therapy has bruises covering the abdomen as well as
red-colored urine. What does the nurse need to assess?
Correct Answer: Platelet level
Question: The nurse is reviewing laboratory data before initiating a patient's heparin infusion. Which
finding requires immediate action?
Correct Answer: Platelets 95,000/mm 3
Question: In which patient would a low-dose aspirin be contraindicated?
Correct Answer: a pt with hemorrhagic stroke
Question: The patient is receiving warfarin therapy, and the nurse finds the international normalized ratio
(INR) to be 4.0. How will the nurse interpret this finding?
Correct Answer: The level is outside the expected target therapeutic level of anticoagulation: it is too high.
Question: The nurse is monitoring a patient receiving alteplase for treatment of a massive pulmonary
embolism. Which finding indicates that the therapy is effective?
Correct Answer: Pulse oxygen saturation increased
Question: The nurse is teaching a patient about therapy with anticoagulants. What is essential information
to include in the teaching plan?
Correct Answer: Anticoagulants prevent clots from forming
Question: The nurse determines that the patient has understood the discharge teaching regarding warfarin
based on which of the patient's statements?
Correct Answer: "I should use a soft toothbrush for dental hygiene."
Question: The patient has been placed on aspirin as an antiplatelet drug. Which side effect is the patient
most likely to experience?
Correct Answer: Nausea
, Question: The patient is scheduled to receive argatroban. Which is the correct route by which to administer
the drug?
Correct Answer: Intravenous
Question: A patient is receiving an intravenous heparin drip. Which laboratory value requires immediate
action by the nurse?
Correct Answer: Activated partial thromboplastin time (aPTT) of 120 seconds
Question: A patient with an acute myocardial infarction is prescribed an intravenous (IV) bolus of
tenecteplase. The patient weighs 160 pounds (approximately 73 kg). What dosage should the nurse
administer?
Correct Answer: 40mg
Question: A patient with warfarin toxicity is prescribed phytonadione. Which nursing assessment ensures
patient safety?
Correct Answer: Assess the prothrombin time (PT)
Question: The patient is being treated with heparin. The nurse assesses the patent's laboratory test results
and finds that the platelet count has dropped to 75,000/mm 3. What action will the nurse perform next?
Correct Answer: Notify the primary healthcare provider of this finding
Question: A patient is started on warfarin therapy while also receiving intravenous heparin. The patient is
concerned about the risk for bleeding. What will the nurse tell the patient?
Correct Answer: "It usually takes about 3 days to achieve a therapeutic effect for warfarin, so the heparin
is continued until the warfarin is therapeutic."
Question: A bleeding patient receiving warfarin has an international normalized ratio (INR) of 6. What is
the nurse's best course of action?
Correct Answer: Administer phytonadione
Question: A patient who has been receiving an infusion of heparin has an activated partial thromboplastin
time (aPTT) of 120 seconds. What is the nurse's first action?
Correct Answer: shut off the heparin drip
Question: The nurse is caring for a patient who takes warfarin for prevention of deep vein thrombosis. The
patient has an international normalized ratio (INR) of 1.2. How should the nurse interpret this finding?
Correct Answer: INR is too low; the dose may need to be increased
Question: The nurse is monitoring a patient receiving reteplase therapy. Which assessment finding requires
the most immediate action?
Correct Answer: change in mental status
Question: The nurse is administering tenecteplase therapy to a patient experiencing an acute myocardial
infarction. What will the nurse teach the patient about this therapy?
Correct Answer: "This therapy will dissolve the clot that caused the heart attack
Question: The nurse assesses the patient's prothrombin time (PT) to determine the effectiveness of
anticoagulant therapy and notes that it is 32 seconds. How will the nurse interpret this value?
Correct Answer: The PT is significantly elevated
