20.7: Review Questions
The nurse admits a client with an acute pulmonary embolism and is instructed to start heparin. Which of the following tests can the nurse best use to adjust the dose of heparin?
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Partial thromboplastin time (PTT)
A client who received heparin developed uncontrollable bleeding. What medication is the provider most likely to use as an antidote to the heparin?
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Protamine
The nurse is answering the client’s question about the risk for heparin-induced thrombocytopenia (HIT). Which of the following information should be included in the discussion?
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The condition is immune mediated.
A client is admitted to the emergency department with an acute myocardial infarction. Which medication does the nurse anticipate being ordered to dissolve the clot in the coronary artery?
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Alteplase
The nurse is teaching a client with a pulmonary embolism about their new medication, heparin. What will the nurse tell the client about the purpose of heparin?
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It will prevent further clot formation.
A nurse is teaching a client about warfarin dietary considerations. Which of the following statements by the client indicates understanding of the restrictions?
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“I should eat a consistent amount of vitamin K–containing foods in my diet.”
A nurse admits a client who has been started on warfarin for a pulmonary embolism. Which test will the nurse monitor to assess warfarin’s effect?
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International normalized ratio (INR)
The nurse is monitoring for medication-related adverse effects in a client receiving heparin. Which of the following would indicate that the client should be assessed for heparin-induced thrombocytopenia (HIT)?
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A decrease in platelet count and concomitant deep vein thrombosis
Which of the following direct-acting oral anticoagulant drugs must be taken with food for effective absorption?
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Rivaroxaban
An emergency department nurse is assessing a client with an acute ischemic stroke prior to administering alteplase. Which finding will the nurse need to discuss with the provider prior to administering alteplase therapy?
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Blood pressure of 197/110 mm Hg