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Examen

NUR 106 (Pharmacology - Chapters 26-28 Test) Questions with Correct Answers (Grade A+)

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NUR 106 (Pharmacology - Chapters 26-28 Test) Questions with Correct Answers (Grade A+)

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NUR 106 (Pharmacology - Chapters 26-28 Test) Questions with
Correct Answers (Grade A+)

Question 1: What are anticoagulants used for?

Answer: Prevent and inhibit clot formation

Question 2: What does DVT stand for?

Answer: Deep Vein Thrombosis

Question 3: What is fibrin?

Answer: The solid insoluble part of a blood clot

Question 4: What is an embolus?

Answer: A blood clot that has broken loose and is floating freely in the blood stream until becoming
trapped, which can then lead to a cerebral or pulmonary embolism

Question 5: What are some major causes of thrombus formation?

Answer: 1. Immobility 2. Surgery (Post-op period) 3. Trauma 4. Illness (ex: heart failure, pregnancy, etc.)

Question 6: What are some routine lab test to assess the blood clotting process?

Answer: 1. Platelets 2. hct 3. PT/INR (Test how thick/thin the blood is) 4. aPTT 5. ACT 6. U/A (Urine
Analysis - check for blood in urine) 7. Stool (check for blood in stool)

Question 7: How long does it normally take for blood clotting to occur?

Answer: 6 minutes

Question 8: What type of drugs are used during drug therapy to prevent platelet aggregation or inhibit
steps in fibrin formation?

Answer: 1. Platelet inhibitors 2. Anticoagulants 3. Thrombin inhibitors 4. Glycoprotein inhibitors 5.
Fibrinolytic agents

Question 9: While gathering the patient's history what are some things you need to make sure you ask
the patient?

Answer: 1. Any history of vascular difficulty 2. Prescribed medications 3. Any history of bleeding 4. Any
recent surgeries 5. Any history of clot formation 6. Any illnesses



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,Question 10: What are SCDs and what are they used for?

Answer: These are compression devices that improve blood flow in the legs. They mimic the patient getting
up walking/moving.

Question 11: What are TED hose?

Answer: A type of compression stocking that is used to prevent blood from clotting in the legs

Question 12: What should the nurse do when providing drug therapy for thromboembolic diseases?

Answer: 1. Patient history 2. Collect data for reduced tissue perfusion 3. Use of SCD's or TED hose 4.
Medication history/Medication compliance 5. Basic physical assessment/Vital signs (*Important: breath
sounds/pedial pulse/ hydration level) 6. Run/Check labs

Question 13: Why is it important to check for breathing sounds with a patient taking anticoagulants?

Answer: Checks for respiratory distress and/or shortness of breath. This makes sure there is not an
embolism in lungs

Question 14: What are some physical signs of pain with a blood clot/embolism?

Answer: 1. Redness 2. Warm to the touch 3. Present/Absence of pedial pulse

Question 15: What are some way of preventing a blood clot/embolism?

Answer: 1. Early ambulation (sooner the better) 2. Leg exercises 3. Turning patient 4. Ensure pillow under
popliteal not preventing blood flow 5. Checking breathing 6. Use of SCDs and Ted hose 7. Checking vital
signs regularly

Question 16: Why would you need to make sure to check the pillow when placing it under the popliteal
area?

Answer: The pillow could cause pressure on the popliteal artery that could prevent blood flow to the leg

Question 17: Why do you need to do a CBC while performing drug therapy for thromboembolic
diseases?

Answer: CBC test tells you the liver enzyme levels

Question 18: Why are liver enzymes important when talking about thromboembolic
diseases/medications?

Answer: Liver enzymes are responsible for producing factors that are necessary for blooding clotting




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, Question 19: What are the signs and symptoms of bleeding?

Answer: 1. Bruising 2. Bleeding gums 3. Blood in stool

Question 20: What should you avoid while taking anticoagulants?

Answer: 1. Injury 2. Regular razor (use electric razor) 3. Contact sports 4. Brushing teeth too hard (use soft
toothbrush)

Question 21: What type of normal intake diet should you stay on while taking anticoagulants?

Answer: Green leafy veggies (ex: lettuce, collards, etc.)

Question 22: Why should you keep a normal intake of green leafy veggies while taking an
anticoagulant?

Answer: They have a high level of Vitamin K, which can inhibit the action of anticoagulants if you eat too
much

Question 23: Unless comorbidities prohibits, how many glasses of 8-ounce water should the patient
drink daily?

Answer: 6-8 glasses

Question 24: What should you tell the patient to wear if he/she is taking an anticoagulant medication?

Answer: Medical Alert Bracelet

Question 25: What should the patient notify the healthcare provider about first before taking?

Answer: 1. Any other prescribed medications 2. Herbal medications 3. Over-the-counter medications

Question 26: What is a major complication from thrombolytic drugs?

Answer: Risk of hemorrhages (blood loss)

Question 27: What is fibrinolysis?

Answer: Process of clot removal

Question 28: What is the action of aspirin as a platelet inhibitor?

Answer: It inhibits platelet aggregation and prolongs bleeding time




Page 3

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