Random Exam 2 Stuff
Hemophilia A labs
-prolonged PTT -low factor VIII:C levels -normal vWF
Warfarin patients cant take
NSAIDS
Treatment of ITP in kids
Observation, usually self resolves if not bleeding
A client on diuretic therapy developed metabolic alkalosis. What does the nurse consider to be the priority nursing care while correcting alkalosis?
Prevent falls
thrombocytopenia concerns
bleeding anywhere like tarry stool
pregnant with hyperemisis
metabolic alkalosis
pt with muscle cramps
metabolic alkalosis
Hemophilia child physical activity
non contact like swimming
Meds for ITP
prednisone (need bone marrow exam) IVIG Anti D antibody
Heparin antidote
protamine sulfate
pt given opiods morphone
resp acidosis
treatment for ITP that doesnt resolve
splenectomy
Anticoags for knee replacement
synthetic thrombin inhibitor lik argatroban, dabifatran, prodaxa
bleeding time
time required for blood to stop flowing from a tiny puncture wound
Rn can interpret ABGs
to eval pt status
DVT S&S
unilateral edema, pain, warmth, erythema, numbness, fullness
The nurse is teaching a group of students about assessing for respiratory system manifestations of alkalosis as a nursing priority. Which statement made by the student nurse indicates the need for further teaching? Select all that apply.
"I should assess for low blood pressure." "I should assess for increased digitalis toxicity." "I should assess for a decreased rate of ventilation in respiratory alkalosis."
The nurse is teaching a group of students about the manifestation of alkalosis in the central nervous system. Which statements by a student nurse are accurate? Select all that apply.
"The client's Trousseau sign would be positive." "The client would be suffering from paresthesias." "The client would show signs of anxiety and irritability.
INR lab values
0.8-1.2 critical value if off, potential for patient to bleed. Use default order for order ?'s (hold all coumadin, assess for bleeding, prepare Vit K (antidote for Coumadin), Call or notify
A nurse is caring for a pregnant client with thrombophlebitis. Which anticoagulant medication may be prescribed? Select all that apply.
Heparin Enoxaprin
Short term Anticoagulation (treatment)
Heparin / LMWH
labs to monitor with DVT
PT/INR
While recovering from abdominal surgery a client develops thrombophlebitis. Which clinical indicators of this complication should the nurse expect to identify when assessing the client? Select all that apply. Correct
pain warm redness
Coumadin / Warfarin should be given
same time every day
What is the Dx study for Pulm Emb
spiral CT
RSV and daycares?
wash hands
Hemoglobin (Hgb)
• Females 12-16 g/dL • Males 14-18 g/dL
D-dimer test
is a global marker of coagulation activation and measures fibrin degradation products produced from fibrinolysis (clot breakdown). The test is used for the diagnosis of DVT
PT lab value
11-14 seconds Prothrombin time is a blood test that measures the time it takes for the liquid portion (plasma) of your blood to clot.
Platelet levels
150,000-400,000
PTT/APTT
25-35 Sec monitors activity of "intrinsic" contact activation pathway + the common coagulation pathways
Acid Base Values for the Preg Woman pH Po2 pco2 HCO3
7.40-.45 (alkaline) 104-108 (increased) 27-32 (decreased) 18-31 (changed)
Fibrin monomer
A derivative of fibrinogen that polymerizes to form the fibrin clot during blood coagulation
post thoracentesis sx of pneumothorax?
Chest pain, SOB, increased HR, Rapid Breathing, Chest Pressure, blue skin / lips
Hep and Lovonox teaching
long vs short acting
VQ scan
lung ventilation/perfusion scan for PE's
Hematocrit levels
males 42%-52%; females 37%-47% percentage of blood volume occupied by red blood cells
UAP caring for VTE pts?
Apply SCD
A client is in profound (late) hypovolemic shock. The nurse assesses the client's laboratory values. What does the nurse know that clients in late shock develop?
metabolic acidosis
What is an IV bolus compared to an IV drip?
Bolus is one dosage all at once and a drip is the consistent addition in small doses
Labs for Von Willebrand Disease
Decreased platelets Prolonged bleeding time PTT may be normal or prolonged
Which would the nurse claim is a cardiovascular manifestation of alkalosis?
Digitalis Toxicity
Hemophilia pts avoid
IM inject
The nurse is teaching a group of students about neuromuscular manifestations of alkalosis with hypocalcemia. Which statements provided by a student nurse indicate the need for further learning? Select all that apply.
The client would show signs of hyporeflexia." "The client would show signs of paresthesias.
medication for pain with hemoarthrosis
Tylenol / acetaminophen
Warfarin antidote
Vitamin K
Long-term anticoagulation (treatment)
Warfarin, dabigatran, rivaroxaban and apixaban
What do you do for hemophilia / hemoarthrosis affected limbs
immobilize and elevate
Kids with RSV 59bpm retraction and lethargic
alert HCP
Chemo can lead to
aquired thrombosis
Foods to avoid with clotting issues
aspirin, NSAID, fish oil, garilic, ginko, biboa, bactrium
A nurse is caring for a toddler with severe dehydration and its associated acid-base imbalance. What compensatory mechanism within the body is activated to counteract the effects of the child's acid-base imbalance?
increased resp rate
kid rsv rn diagnosis
ineffective airway clearance r/t nasopharyngeal secreation
Ph Pc02 Hco3
compensation order
Lung sounds hear with a PE
crackles in lower lungs
compensation for metabolic acidosis
deep rapid breathing
when giving anticoagulents injection what dont you do?
dont expel the bubble
A client is suspected of having thrombophlebitis of the left lower extremity. For what clinical finding should the nurse assess the client?
edema
Dad asks about hemophilia with children?
females are carriers
PTT monitors what medication
heparin
Hemophilia B labs
high PTT, normal PT normal platelet count and bleeding time
Resp alkalosis pt would be (respiration)
hyperventilation
