Pharm Chapter 37 NCLEX

a nurse is caring for a client receiving warfarin therapy. the nurse instructs the client and family that certain foods must be ingested consistently because of the possible interference with the effect o the therapy. which of the following foods must be taken in limited quantity a) foods rich in vit. A b) foods rich in vit. K c) foods rich in vit. C d) foods rich in vit. D

b) foods rich in vit. K

assessment of a client receiving an anticoagulant reveals abdominal pain; coffee-ground emesis; black, tarry stook; hematuria; joint pain; and spitting or coughing up blood. the nurse interprets these findings as which of the following (select all that apply) a) hypertensive emergency b) internal bleeding c) cancer d) hepatic impairment

b) internal bleeding

the primary health care provide orders a 300 mg dose of clopidogrel (Plavix) for a client. the client then is to receive 75 mg.day. the nurse interprets the 300 mg dose to be which of the following a) maintenance dose b) loading dose c) dose for treating myocardial infarction d) initial dose for treatment of stroke

b) loading dose

a nurse is caring for a client undergoing warfarin therapy for the treatment of venous thrombosis. the nurse suspects that the client is experiencing an overdose based on which of the following a) skin rash b) melena c) gastric upset d) abdominal cramping

b) melena

a client is to receive enoxaparin (Lovenox) the nurse would administer this drug by which route a) intramuscular injection b) subcutaneous injection c) intravenous infusion d) orally

b) subcutaneous injection

a nurse is preparing to administer an anti platelet drug. which of the following would the nurse most likely administer a) Enoxaparin (Lovenox) b) Clopidogrel (Plavix) c) Alteplase (Activase) d) Phytonadione (Mephyton)

b) Clopidogrel (Plavix)

a client is prescribed warfarin. before administering the drug, the nurse checks the client's history for use of herbal remedies. which of the following if used by client would be a problem (select all that apply) a) garlic b) ginseng c) gingko biloba d) ginger e) green tea

a) garlic b) ginseng c) gingko biloba d) ginger e) green tea

the nurse is preparing to administer a thrombolyic drug to a client. the nurse understands that this class of drugs would be contraindicated in clients with which of the following (select all that apply) a) history of stroke b) history of aneurysm c) active infection d) active bleeding e) recent abdominal surgery

a) history of stroke b) history of aneurysm d) active bleeding

a nurse is caring for a client receiving warfarin drug therapy. the client informs the nurse that he is also taking chamomile, which is an herbal remedy. the nurse would alert the client to which of the following effects a) increased risk for bleeding b) increased absorption of warfarin c) decreased effectiveness of chamomile d) increased risk for hypertension

a) increased risk for bleeding

a client who uses st. john's wort is receiving warfarin. the nurse would be alert for which of the following a) increased risk of bleeding b) increased risk of thrombus formation c) increased platelet count d) increased blood pressure

a) increased risk of bleeding

a client receives subcutaneous heparin at 8 am and is scheduled for the next dose at 8 pm the nurse would expect to obtain a specimen for an aPTT test at which time a) 5 pm b) 6 pm c) 2 pm d) 12 pm

c) 2 pm

a client receiving anticoagulant therapy and has an INR done. which result would the nurse interpret as being therapeutic a) 1.8 b) 1.0 c) 2.4 d) 1.4

c) 2.4

for optimal therapeutic effect a thrombolytic medication should be administered as soon as possible after the formation of a thrombus, preferably within how many hours a) 12-24 hrs b) 10-12 hrs c) 4-6 hrs d) 8-10 hrs

c) 4-6 hrs

a client experiences an overdose of warfarin. which of the following would the nurse expect to administer a) Protamine b) Alteplase c) Phytonadione d) Urokinase

c) Phytonadione

the nurse would anticipate administering fondaparinux to a client with which of the following a) clearing intermittent infusion lines b) myocardial infarction c) PE treatment d) DVT treatment e) DVT prophylaxis

e) DVT prophylaxis