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