NURS 104 - Schoolcraft Pharmacology Exam 4
QUESTIONS NEWEST 2026 ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW!!2026-
2027
Difference between heparin and warfarin
Heparin
-can be given IV or SC
-immediate results
- PTT lab drawn normal results 55-85
- antidote: Protamine
sulfate Warfarin
-given PO
-3-7 days to work
- INR lab normal results 2.0-3.0
antidote: Vitamin K
,Heparin uses
DVT, Pulmonary Embolism, MI,orthopedic surgery, post-op, stroke
SE/ adverse reaction of heparin
itching burning, bleeding
Enoxaparin (Lovenox)
Anticoagulant, Low Molecular Weight Heparin
-last 24 hrs
-expensive
-used to prevent DVT following hip, knee, abdominal surgery
Enoxaparin (Lovenox) antidote
protamine sulfate
Oral anticoagulants Warfarin
takes 3-7 days to work
-action: inhibits liver synthesis of vitamin k
-used: chronic vs acute to prevent thrombophlebitis, PE, embolism,
prevent a-fib embolisms
,warfarin SE/AE
anorexia, N/V/D, bleeding
Monitoring Warfarin
PT
-normal average:12
-goal PT for those on coumadin= 1.5-2.5 normal
PT INR
-Normal INR=1.3-2.0 seconds
-goal INR 2-3 seconds
Diet teaching with Coumadin (warfarin)
monitor intake of vitamin k (leafy greens)
-maintain consistency of green leafy vegetables
Anticoagulant Nursing Implications
monitor platelet count, specific labs, signs or symptoms of bleeding,
bleeding gums,melena, hematuria
-use soft toothbrush, electric razor
- ask DR about OTC drugs
- check compatibilites with other drugs and herbs
, Dabigatran (Pradaxa)
Anticoagulant
Xa inhibitors
oral anticoagulant
-monitor xa levels
-work immediately
- end in xaban
ex: Apixaban(eliquis), Rivaroxaban (Xarelto)
Thrombolytics Action
dissolves or lyses blood clots
-end in -phase or -kinase-> is an enzyme
-given within 3 to 4 hrs of acute thrombin formation to immediately
break down clot
-avoid giving with other anticoagulants/antiplatelets due to risk of
hemorrhage
-can only be given under Dr supervision
adverse reaction of thrombolytics
anaphylaxis, hemorrhage, arrhythmia
QUESTIONS NEWEST 2026 ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW!!2026-
2027
Difference between heparin and warfarin
Heparin
-can be given IV or SC
-immediate results
- PTT lab drawn normal results 55-85
- antidote: Protamine
sulfate Warfarin
-given PO
-3-7 days to work
- INR lab normal results 2.0-3.0
antidote: Vitamin K
,Heparin uses
DVT, Pulmonary Embolism, MI,orthopedic surgery, post-op, stroke
SE/ adverse reaction of heparin
itching burning, bleeding
Enoxaparin (Lovenox)
Anticoagulant, Low Molecular Weight Heparin
-last 24 hrs
-expensive
-used to prevent DVT following hip, knee, abdominal surgery
Enoxaparin (Lovenox) antidote
protamine sulfate
Oral anticoagulants Warfarin
takes 3-7 days to work
-action: inhibits liver synthesis of vitamin k
-used: chronic vs acute to prevent thrombophlebitis, PE, embolism,
prevent a-fib embolisms
,warfarin SE/AE
anorexia, N/V/D, bleeding
Monitoring Warfarin
PT
-normal average:12
-goal PT for those on coumadin= 1.5-2.5 normal
PT INR
-Normal INR=1.3-2.0 seconds
-goal INR 2-3 seconds
Diet teaching with Coumadin (warfarin)
monitor intake of vitamin k (leafy greens)
-maintain consistency of green leafy vegetables
Anticoagulant Nursing Implications
monitor platelet count, specific labs, signs or symptoms of bleeding,
bleeding gums,melena, hematuria
-use soft toothbrush, electric razor
- ask DR about OTC drugs
- check compatibilites with other drugs and herbs
, Dabigatran (Pradaxa)
Anticoagulant
Xa inhibitors
oral anticoagulant
-monitor xa levels
-work immediately
- end in xaban
ex: Apixaban(eliquis), Rivaroxaban (Xarelto)
Thrombolytics Action
dissolves or lyses blood clots
-end in -phase or -kinase-> is an enzyme
-given within 3 to 4 hrs of acute thrombin formation to immediately
break down clot
-avoid giving with other anticoagulants/antiplatelets due to risk of
hemorrhage
-can only be given under Dr supervision
adverse reaction of thrombolytics
anaphylaxis, hemorrhage, arrhythmia
