Chapter 15. Drugs Affecting the Hematological System
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. Kenneth is taking warfarin and is asking about what he can take for minor aches and pains. The best
recommendation is:
1. Ibuprofen 400 mg three times a day
2. Acetaminophen, not to exceed 4 grams per day
3. Prescribe acetaminophen with codeine
4. Aspirin 640 mg three times a day
2. Juanita had a deep vein thrombosis (DVT) and was on heparin in the hospital and was discharged on
warfarin. She asks her primary care provider NP why she was getting both medications while in the
hospital. The best response is to:
1. Contact the hospitalist as this is not the normal guideline for prescribing these two
medications and she may have had a more complicated case.
2. Explain that warfarin is often started while a patient is still on heparin because
warfarin takes a few days to reach effectiveness.
, 3. Encourage the patient to contact the Customer Service department at the hospital
as this was most likely a medication error during her admission.
4. Draw anticoagulation studies to make sure she does not have dangerously high
bleeding times.
3. The safest drug to use to treat pregnant women who require anticoagulant therapy is:
1. Low-molecular-weight heparin
2. Warfarin
3. Aspirin
4. Heparin
4. The average starting dose of warfarin is 5 mg daily. Higher doses of 7.5 mg daily should be
considered in which patients?
1. Pregnant women
2. Elderly men
3. Overweight or obese patients
4. Patients with multiple comorbidities
5. Cecil and his wife are traveling to Southeast Asia on vacation and he has come into the clinic to
review his medications. He is healthy with only mild hypertension that is well controlled. He asks
about getting “a shot” to prevent blood clots like his friend Ralph did before international travel. The
correct respond would be:
1. Administer one dose of low-molecular weight heparin 24 hours before travel.
2. Prescribe one dose of warfarin to be taken the day of travel.
3. Consult with a hematologist regarding a treatment plan for Cecil.
4. Explain that Cecil is not at high risk of a blood clot and provide education about
how to prevent blood clots while traveling.
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. Kenneth is taking warfarin and is asking about what he can take for minor aches and pains. The best
recommendation is:
1. Ibuprofen 400 mg three times a day
2. Acetaminophen, not to exceed 4 grams per day
3. Prescribe acetaminophen with codeine
4. Aspirin 640 mg three times a day
2. Juanita had a deep vein thrombosis (DVT) and was on heparin in the hospital and was discharged on
warfarin. She asks her primary care provider NP why she was getting both medications while in the
hospital. The best response is to:
1. Contact the hospitalist as this is not the normal guideline for prescribing these two
medications and she may have had a more complicated case.
2. Explain that warfarin is often started while a patient is still on heparin because
warfarin takes a few days to reach effectiveness.
, 3. Encourage the patient to contact the Customer Service department at the hospital
as this was most likely a medication error during her admission.
4. Draw anticoagulation studies to make sure she does not have dangerously high
bleeding times.
3. The safest drug to use to treat pregnant women who require anticoagulant therapy is:
1. Low-molecular-weight heparin
2. Warfarin
3. Aspirin
4. Heparin
4. The average starting dose of warfarin is 5 mg daily. Higher doses of 7.5 mg daily should be
considered in which patients?
1. Pregnant women
2. Elderly men
3. Overweight or obese patients
4. Patients with multiple comorbidities
5. Cecil and his wife are traveling to Southeast Asia on vacation and he has come into the clinic to
review his medications. He is healthy with only mild hypertension that is well controlled. He asks
about getting “a shot” to prevent blood clots like his friend Ralph did before international travel. The
correct respond would be:
1. Administer one dose of low-molecular weight heparin 24 hours before travel.
2. Prescribe one dose of warfarin to be taken the day of travel.
3. Consult with a hematologist regarding a treatment plan for Cecil.
4. Explain that Cecil is not at high risk of a blood clot and provide education about
how to prevent blood clots while traveling.
