Term
| The nurse is managing care for a client with cirrhosis of the liver. The nurse teaches the client about how to avoid injury that may result in bleeding. The client asks the nurse why he is at risk to start bleeding. What is the best response by the nurse? |
|
Definition
| “Because your liver is injured and cannot make clotting factors.” |
|
|
Term
| The nurse is managing care for a client with a DVT (deep vein thrombosis) of the right calf. The client receives heparin intravenously (IV). What is the priority outcome for this client? |
|
Definition
| The client will not experience bleeding |
|
|
Term
| The client receives warfarin (Coumadin). The nurse notes that the client’s morning international normalized ratio (INR) is 7. What are the priority nursing interventions at this time? |
|
Definition
| Administer vitamin K and hold the next dose of warfarin (Coumadin). |
|
|
Term
| The physician orders pentoxifylline (Trental) for the client with peripheral vascular disease. The nurse has completed medication education and determines that learning has occurred when the client makes which statement(s)? Select all that apply. |
|
Definition
“It makes my red blood cells (RBCs) squishy so they can go into the little blood vessels.”
“It decreases my platelets so my blood is less likely to clot.”
“It decreases the “stickiness” of my blood.” |
|
|
Term
| The physician orders enoxaparin (Lovenox) for the postoperative client. What is the best administration technique by the nurse? |
|
Definition
| Administer the medication in the abdomen, subcutaneously. |
|
|
Term
| The client has a deep vein thrombosis (DVT) and is admitted for initial heparin therapy. Which order(s) would the nurse want to validate with the physician? Select all that apply. |
|
Definition
Advil as needed (PRN) for headaches
Low vitamin K diet
Heparin 1,000 units intravenous (IV) every 6 hours |
|
|
Term
| The client is being discharged on warfarin (Coumadin) following a valve replacement. The nurse has completed medication education and determines that learning has occurred when the client makes which statement? |
|
Definition
| “I must wear a medic alert bracelet that says I’m on warfarin (Coumadin).” |
|
|
Term
| The client receives warfarin (Coumadin). The nurse plans to teach the client to avoid which foods that are served for lunch? |
|
Definition
|
|
Term
The nursing instructor is teaching student nurses about the process of hemostasis
after an injury. What does the nursing instructor include as the initial event in this process? |
|
Definition
|
|
Term
| The client receives enoxaparin (Lovenox) postoperatively. The nurse teaches the client about this medication and evaluates that learning has occurred when he makes which statement? |
|
Definition
| “It increases the time it takes for me to form a clot.” |
|
|
Term
| The client receives heparin. During the morning assessment of the client, the nurse notes that the client’s blood pressure and red blood cell (RBC) count are low. There is no evidence of bleeding on the bed linen or the client’s gown. What will the best assessment of this client reveal? |
|
Definition
| The client may be bleeding internally. |
|
|
Term
| The client receives an appropriate dose of warfarin (Coumadin), but the international normalized ratio (INR) is in the high range. The client denies taking any aspirin products. What is the best assessment question to ask the client at this time? |
|
Definition
| “Have you been eating much garlic?” |
|
|
Term
| A woman brings her husband to the emergency department and tells the nurse that her husband just had a stroke. The physician verifies a thrombotic cerebral vascular accident (CVA) occurred and plans to use alteplase (Activase). What priority assessment question will the nurse ask the wife? |
|
Definition
| “What time did your husband have the stroke?” |
|
|
Term
| The new mother receives heparin. She asks the nurse if she can breast-feed her baby. What is the most therapeutic response by the nurse? |
|
Definition
| “No, because this could cause your nipples to bleed.” |
|
|
Term
| The client receives warfarin (Coumadin) and becomes pregnant. The physician changes her anticoagulant to enoxaparin (Lovenox). She asks the nurse “Why did the doctor do that?” What is the best rationale by the nurse? |
|
Definition
| “Because enoxaparin (Lovenox) cannot get into your baby.” |
|
|
Term
| The process of fibrinolysis is to: |
|
Definition
|
|
Term
| Anticoagulants are used to: |
|
Definition
| Prevent the formation of blood clots. |
|
|
Term
| A laboratory test used to best measure the effectiveness of warfarin sodium therapy is known as: |
|
Definition
| International normalized ratio (INR). |
|
|
Term
| Laboratory studies related to heparin therapy include: |
|
Definition
|
|
Term
| The most important food for a patient taking anticoagulants to avoid is: |
|
Definition
|
|
Term
| Thrombolytic drugs are used to: |
|
Definition
|
|
Term
| The nurse is aware that the mechanism of action of anticoagulant drugs is to: |
|
Definition
| Inhibit clotting factors to prevent clot formation. |
|
|
Term
| A client is taking warfarin sodium. The nurse will reinforce teaching by telling the client that he should watch for: |
|
Definition
|
|
Term
| The nurse is aware that the drug that will most likely be used in the treatment of warfarin sodium overdose is: |
|
Definition
|
|
