UNIT 2 EXAM: CLOTTING Exemplars: Thrombocytopenia, Hemophilia A and B, Venous Thrombosis

1. A pt. is on heparin drip for DVT L leg. Which lab is a potential complication of heparin therapy? - K 3.6 - Hgb 14.5 - aPTT 65 seconds - Platelets 75,000 - Platelets 75,000 1. Which of the following interventions is appropriate with treating a child dx hemophilia with hemarthrosis? - Administering Tylenol rectal suppositories prn for pain - Administering the missing blood clotting factors - Administering ibuprofen prn for pain - Administering enoxaparin - Administering the missing blood clotting factors 1. A nursing intervention with a pt. with lymphoma whose platelet count is 18,000 due to chemo is: - Check all stools for occult blood - Provide oral hygiene every 2 hours - Encourage fluids to 3000ml/day - Check pt.'s temperature every 4 hours - Check all stools for occult blood 1. The client diagnosed with PE is in the ICU. Which data would need immediate intervention? - O2 sat of 88% - The client's telemetry occasionally exhibits PVCs - The client's ABGs are pH 7.36, PCO2 38, HCO3 24 - Urine output for the 12-hour shift is 800ml - O2 sat of 88% 1. A patient with a left femoral DVT is started on warfarin. What lab should the nurse monitor? - aPTT - Platelets - INR - Bleeding time - INR 1. The nurse is teaching a pt. with thrombocytopenia. Which of the following is appropriate? - Instruct pt. to dab his nose instead of blowing - Instruct pt. to continue with usual activities to prevent DVT - Tell the pt. to be careful when shaving with a razor - Encourage pt. to take aspirin which will mask fever that occurs w/low platelets - Instruct pt. to dab his nose instead of blowing