chapter review questions Flashcards
A patient is receiving an intravenous infusion of heparin to treat a pulmonary embolism. What laboratory value will the nurse monitor to evaluate treatment with this medication?
A. Activated partial thromboplastin time (aPTT)
B. Prothrombin time (PT)
C. Platelet count
D. Hemoglobin and hematocrit
Activated partial thromboplastin time (aPTT)
Which patient does the nurse identify as most likely needing an increased dose of warfarin [Coumadin] to have the same anticoagulant effect?
A. Patient taking acetaminophen [Tylenol] for back pain
B. Patient taking cimetidine [Tagamet] to prevent gastric ulcers
C. Patient taking oral contraceptives to prevent pregnancy
D. Patient taking prednisone [Deltasone] for rheumatoid arthritis
Patient taking oral contraceptives to prevent pregnancy
What is the antidote for heparin?
A. Ferrous sulfate
B. Atropine sulfate
C. Protamine sulfate
D. Magnesium sulfate
Protamine sulfate
During administration of alteplase [Activase], the patient’s IV site starts to ooze blood around the catheter. Which action by the nurse is most appropriate?
A. Discontinue the infusion of alteplase.
B. Assess the patient’s vital signs.
C. Apply direct pressure over the puncture site.
D. Administer aminocaproic acid
Apply direct pressure over the puncture site.
