Upgrade to remove ads
Only $35.99/year

Clinical Science Final #11

Terms in this set (30)

A client with cirrhosis of the liver asks the nurse why they are at risk for bleeding. Which response should the nurse provide the​ client?
The liver is injured and cannot make clotting​ factors.
The nurse is caring for a client with a DVT​ (deep vein​ thrombosis) receiving heparin intravenously​ (IV). Which is the priority outcome for the​ client?
The client will not experience bleeding.
The nurse notes a​ client's warfarin​ (Coumadin) level is 7​ mcg/mL. Which action should the nurse​ take?
Hold the next dose of warfarin​ (Coumadin) and request an international normalized ratio​ (INR).
The nurse has provided education for a client prescribed pentoxifylline​ (Trental). Which statements made by the client indicate an understanding of the​ information?
- The prescription will soften the red blood cells​ (RBCs) so they can fit through the smaller blood​ vessels."

- The prescription decreases the platelets so the blood is less likely to​ clot."

- The prescription decreases the​ "stickiness" of the​ blood."
Which route of administration should the nurse anticipate to use for a​ client's prescribed enoxaparin​ (Lovenox)?
Administer the prescription into the​ abdomen, subcutaneously.
Which additional prescribed treatment should the nurse anticipate for the client prescribed heparin​ therapy?
Obtaining an aPTT
The nurse has provided discharge education for a client prescribed an anticoagulant. Which statement made by the client indicates an understanding of the​information?
I should wear a medical alert bracelet that says​ I'm on an​ anticoagulant."
Which food should the nurse instruct the client prescribed warfarin​ (Coumadin) to​ avoid?
Tomato salad with kale and basil
The nurse is reviewing the process of hemostasis after an injury with a client. Which should the nurse identify as the initial event in this​ process?
The vessel spasms.
The nurse has provided a client education about enoxaparin​ (Lovenox). Which statement made by a client indicates an understanding of the​ information?
Enoxaparin increases the time it takes for me to form a​ clot."
The nurse notes the blood pressure and red blood cell​ (RBC) count of a client receiving heparin is low. Which should the nurse suspect has​ occurred?
Internal bleeding
The nurse notes that a client receiving warfarin​ (Coumadin) has a high international normalized ratio​ (INR). Which question should the nurse include in the​assessment?
Do you eat a lot of​ garlic?
Which priority question should the nurse ask a client suspected of experiencing a stroke that is prescribed alteplase​ (Activase).
Do you know what time the stroke​ occurred?
Which anatomical area should the nurse display a client when providing education about the point of origin of a pulmonary​ embolism?
Right atrium
The nurse is preparing to assess a client with von​ Willebrand's disease​ (vWD). Which priority question should the nurse ask the​ client?
Do you have heavy menstrual​ periods?
Which describes the purpose of​ fibrinolysis?
Remove a blood clot
Which describes the primary action of anticoagulant​ therapy?
Prevent the formation of blood clots
Which laboratory test is used to measure the effectiveness of warfarin sodium​ therapy?
International normalized ratio​ (INR)
Which laboratory study is used to evaluate the proper dosage for heparin​ therapy?
aPtt
Which should the client be instructed to avoid when prescribed an​ anticoagulant?
- Alcohol

- Contact sports

- Prolonged sitting

- Hard toothbrush
Which describes the action of thrombolytic​ prescriptions?
Digest and remove preexisting clots.
Which describes the mechanism of action of anticoagulant​ prescriptions?
Inhibition of thrombi formation.
Which adverse effect should the nurse instruct the client to monitor for while receiving warfarin​ sodium?
Bleeding
Which prescription should the nurse prepare to administer for a client experiencing a warfarin sodium​ overdose?
Vitamin K
Which statements should the nurse include in the teaching for a client prescribed warfarin​ (Coumadin) therapy?
- Inform your dentist you are taking warfarin prior to any​ procedures.

- Avoid strenuous​ activities.
Which information should the nurse include the teaching for a client prescribed​ heparin?
- Self-administration of subcutaneous injections.

- Symptoms of deep vein thrombosis.

- Required laboratory tests.

- Signs of abnormal bleeding.
Which classification of prescriptions does the nurse anticipate for the client being treated for a thromboembolic​ disorder?
- Anticoagulants

- Antiplatelet agents
Which describes the mechanism of action for Clopidogrel​ (Plavix)?
Prevents the platelets from sticking together
Which prescription should the nurse anticipate for a client that has overdosed on Clopidogrel​ (Plavix)?
Platelet transfusion
The nurse is preparing to provide education for a client prescribed Clopidogrel​ (Plavix) after a myocardial infarction and stent placement. Which statements should the nurse use to explain the action of​ Clopidogrel?
- Clopidogrel will make the platelets in your blood less​ sticky."

- Clopidogrel will change the way your platelets​ work."

Clopidogrel decreases your​ blood's ability to​ clot."
Sets found in the same folder