Chapter 37

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 finding? -skin rash -melena -gastric upset -abdominal cramping

melena

A client experiences an overdose of warfarin. Which would the nurse expect to administer? -alteplase -phytonidone -protamine -urokinase

phytonidone

A client is to receive enoxaparin (Lovenox). The nurse would administer this drug by which route? -orally -intravenous infusion -intramuscular injection -subcutaneous injection

subcutaneous injection

A nurse is preparing to administer a thrombolytic drug to a client. A nurse understands that this class of drugs would be contraindicated in clients with which conditions? SATA -active infection -history of stroke -active bleeding -recent abdominal surgery -history of aneurysm

-active infection -history of stroke -history of aneurysm

A client is prescribed warfarin. Before administering the drug, the nurse checks the client's history for use of herbal remedies. which herbal remedy if used by the client would be a problem? SATA -green tea -ginkgo biloba -garlic -ginseng -ginger

-green tea -ginkgo biloba -garlic -ginseng -ginger

A client receives subcutaneous heparin at 8 am and is scheduled to receive the next dose at 8 pm. The nurse would expect to obtain a specimen for an aPTT test at which time? -1400 -1700 -1800 -1200

1400

A client is receiving anticoagulant therapy and has an INR done. Which would the nurse interpret as being therapeutic? -1.8 -1.0 -2.4 -1.4

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? -8 to 10 hours -10 to 12 hours -12 to 24 hours -4 to 6 hours

4 to 6 hours

The nurse would anticipate administering fondaparinux to a client with which condition? -PE treatment -DVT treatment -myocardial infarction -DVT prophylaxis

DVT prophylaxis

The nurse is preparing to administer and antiplatelet drug. Which drug would the nurse most likely administer? -clopidogrel -phytonadione -alteplase -enoxaparin

clopidogrel

A nurse is caring for a client receiving warfarin therapy. The nurse instructs the client and family that certain foods must be integrated in moderation because of the possible interference with the effect of the therapy. Which foods must be taken in limited quantity? -foods rich in vitamin d -foods rich in vitamin k -foods rich in vitamin a -foods rich in vitamin c

foods rich in vitamin k

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 adverse effects? -increased absorption of warfarin -increased risk for hypertension -decreased effectiveness for chamomile -increased risk for bleeding

increased risk for bleeding

A client who uses St. Johns Wort is receiving warfarin. The nurse would be alert for which deviation from normal findings? -increased risk of bleeding -increased blood pressure -increased platelet counts -increased risk of thrombus formation

increased risk of bleeding

Assessment of a client receiving an anticoagulant reveals abdominal pain; coffee ground emesis; black, tarry stools; hematuria; joint pain; and spitting or coughing up blood. The nurse interprets these findings as which adverse reaction? -cancer -hypertensive emergency -internal bleeding -hepatic impairment

internal bleeding

The health care provider orders a 300-mg dose of clopidogrel (Plavix) for a client. The client is then to receive 75 mg/day. The nurse interprets the 300-mg dose to be which type of dose? -initial dose for treatment of stroke -loading dose -dose for treating myocardial infarction -maintenance dose

loading dose