The Nurse Is Reviewing New Postoperative Orders and Notes That the Order Reads Give Hydroxyzine
MULTIPLE CHOICE
1. A patient has been prescribed warfarin (Coumadin) in addition to a heparin infusion. The patient asks the nurse why he has to be on ii medications. The nurse's response is based on which rationale?
a. The oral and injection forms work synergistically.
b. The combination of heparin and an oral anticoagulant results in fewer adverse effects than heparin used lone.
c. Oral anticoagulants are used to reach an acceptable level of anticoagulation when heparin alone is unable to do so.
d. Heparin is used to kickoff anticoagulation and then every bit to allow time for the claret levels of warfarin to reach adequate levels.
ii. The nurse is preparing to administer dipyridamole (Persantine). Which statement nigh this drug is truthful?
a. It has antiinflammatory and antipyretic properties.
b. Information technology has analgesic properties likewise as antithrombotic furnishings.
c. It is useful in reducing the run a risk for fatal and nonfatal thrombotic stroke.
d. It is used with warfarin to prevent postoperative thromboembolic complications.
3. A patient is receiving thrombolytic therapy, and the nurse monitors the patient for adverse effects. What is the most common undesirable effect of thrombolytic therapy?
a. Dysrhythmias
b. Nausea and vomiting
c. Anaphylactic reactions
d. Internal and superficial bleeding
iv. A patient who has been anticoagulated with warfarin (Coumadin) has been admitted for gastrointestinal haemorrhage. The history and physical examination indicates that the patient may take taken likewise much warfarin. The nurse anticipates that the patient will receive which antitoxin?
a. vitamin East
b. vitamin Chiliad
c. protamine sulfate
d. potassium chloride
5. When administering heparin subcutaneously, the nurse will follow which process?
a. Aspirating the syringe earlier injecting the medication
b. Massaging the site after injection
c. Applying heat to the injection site
d. Using a 
– to -inch 25- to 28-estimate needle
6. A patient has been instructed to take 1 enteric-coated low-dose aspirin a day every bit part of therapy to preclude strokes. The nurse will provide which teaching when providing patient instruction about this medication?
a. Aspirin needs to be taken on an empty stomach to ensure maximal absorption.
b. Low-dose aspirin therapy rarely causes problems with bleeding.
c. Accept the medication with 6 to 8 ounces of water and food.
d. Coated tablets may be crushed if necessary for easier swallowing.
vii. A patient will be receiving a thrombolytic drug equally part of the handling for acute myocardial infarction. The nurse explains to the patient that this drug is used for which purpose?
a. To relieve chest pain
b. To prevent further clot germination
c. To dissolve the jell in the coronary avenue
d. To command haemorrhage in the coronary vessels
8. A patient is receiving heparin therapy equally part of the handling for a pulmonary embolism. The nurse monitors the results of which laboratory examination to check the drug's effectiveness?
a. Bleeding times
b. Activated partial thromboplastin time (aPTT)
c. Prothrombin time/international normalized ratio (PT/INR)
d. Vitamin K levels
9. The nurse notes in the patient's medication orders that the patient will exist starting anticoagulant therapy. What is the primary goal of anticoagulant therapy?
a. Stabilizing an existing thrombus
b. Dissolving an existing thrombus
c. Preventing thrombus formation
d. Dilating the vessel around a jell
ten. A patient is being discharged on anticoagulant therapy. The nurse volition include in the patient-teaching conversation that it is important to avoid herbal products that contain which substance?
a. Valerian
b. Ginkgo
c. Soy
d. Saw palmetto
11. A patient who is taking warfarin (Coumadin) therapy has a headache and calls the prescriber's office to inquire about taking a pain reliever. The nurse expects to receive instructions for which type of medication?
a. aspirin tablets
b. ibuprofen (Advil)
c. acetaminophen (Tylenol)
d. An opioid
12. A patient has had recent prosthetic heart valve surgery and is receiving anticoagulant therapy. While monitoring the patient'south laboratory piece of work, the nurse interprets that the patient'due south international normalized ratio (INR) level of 2.v indicates that
a. the patient is not receiving enough warfarin to have a therapeutic consequence.
b. the patient'south warfarin dose is at therapeutic levels.
c. the patient's intravenous heparin dose is dangerously high.
d. the patient'southward intravenous heparin dose is at therapeutic levels.
13. A patient has received an overdose of intravenous heparin, and is showing signs of excessive bleeding. Which substance is the antidote for heparin overdose?
a. vitamin E
b. vitamin Thou
c. protamine sulfate
d. potassium chloride
14. The nurse is reviewing new medication orders for a patient who has an epidural catheter for hurting relief. One of the orders is for enoxaparin (Lovenox), a low–molecular-weight heparin (LMWH). What is the nurse'south priority action?
a. Give the LMWH as ordered.
b. Double-check the LMWH order with another nurse, and then administer as ordered.
c. Finish the epidural hurting medication, so administer the LMWH.
d. Contact the prescriber because the LMWH cannot be given if the patient has an epidural catheter.
Source: https://scholaron.com/homework-answers/multiple-choice-1-a-patient-has-1393564
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