Pharm clotting Quiz

A nurse is teaching a client who will soon be discharged with a prescription for warfarin. Which statement should the nurse include in discharge teaching?

"Don't take aspirin while you're taking warfarin."

After being treated with heparin therapy for thrombophlebitis, a client is to be discharged on oral warfarin. After teaching the client about the medication and possible effects, which client statement indicates successful teaching?

"I should use a soft toothbrush to brush my teeth."

A monitor technician on the telemetry unit asks a charge nurse why every client whose monitor shows atrial fibrillation is receiving warfarin. Which response by the charge nurse is best

"Warfarin prevents clot formation in the atria of clients with atrial fibrillation."

A client with deep vein thrombosis has been receiving warfarin for 2 months. The client is to go to an anticoagulant monitoring laboratory every 3 weeks. The last visit to the laboratory was 2 weeks ago. The client reports bleeding gums, increased bruising, and dark stools. What should the patient do?

Notify the healthcare provider immediately.

1. A client is hospitalized 3 days prior to a total hip arthroplasty and reports a high level of pain with ambulation. The client has been taking warfarin at home, which is now discontinued. To prevent the formation of blood clots, what is important for the nurse to complete?

Administer the prescribed enoxaparin (Lovenox).

During the admission history the client reports to the nurse of taking the usual dose of warfarin (Coumadin) the previous day. What is the appropriate nursing action?

Notify the surgeon that the client took warfarin the day before surgery.

A home care nurse visits a client diagnosed with atrial fibrillation who is ordered warfarin. The nurse teaches the client about warfarin therapy. Which statement by the client indicates the need for further teaching?

"I'll eat four servings of fresh, dark green vegetables every day."

A patient with hemophilia is ordered to receive Factor VIII. The nurse is preparing preparing to administer the medication via intravenous bolus, over how long should the nurse administer the medication?

5-10 minutes

Which of the following nursing interventions is most appropriate when caring for a client with a nursing diagnosis of risk for injury related to side effects of medication enoxaparin (Lovenox)?

Report any incident of bloody urine, stools, or both

A client is admitted with a diagnosis of thrombophlebitis and deep vein thrombosis of the right leg. A loading dose of heparin has been given in the emergency department, and IV heparin will be continued for the next several days. What should be included in the plan of care?

monitoring the client's activated partial thromboplastin time (aPTT) and International Normalized Ratio (PT/INR).