Week 7: Chapter 20 Study Guide Questions

Question 1

What is the category of the drug: darbepoetin alfa (Aransep)

Answer 1

Colony-Stimulating Factor

Question 2

What is the category of the drug: warfarin (Coumadin)

Answer 2

Clotting Factor Stimulus

Question 3

What is the category of the drug: ticlopidine (Ticlid)

Answer 3

Antiplatelet

Question 4

What is the category of the drug: t-PA

Answer 4

Thrombolytic

Question 5

What is the category of the drug: clopidogrel (Plavix)

Answer 5

Antiplatelet

Question 6

What is the category of the drug: tenecteplase (TNKase)

Answer 6

Thrombolytic

Question 7

What is the category of the drug: tirofiban (Aggrastat)

Answer 7

Antiplatelet

Question 8

What is the category of the drug: reteplase (Retavase)

Answer 8

Thrombolytic

Question 9

What is the category of the drug: epoetin alfa (Epogen, Procrit)

Answer 9

Colony-stimulating factors

Question 10

What is the category of the drug: eptifibatide (Integrilin)

Answer 10

Antiplatelet

Question 11

What is the category of the drug: heparin

Answer 11

Thrombin inhibitor (Indirect)

Question 12

What is the category of the drug: oprelvekin (Neumega)

Answer 12

Colony-stimulating factor

Question 13

What is the category of the drug: aspirin

Answer 13

Antiplatelet

Question 14

What is the category of the drug: enoxaparin (Lovenox)

Answer 14

Thrombin inhibitor (indirect)

Question 15

Clotting factor synthesis inhibitors (warfarin {Coumadin} decrease the production of clotting factors in the ___________________.

Answer 15

Liver, specifically vitamin K dependent clotting factors

Question 16

_____________ drugs break down fibrin in an already formed clot.

Answer 16

Fibrinolytic { lytic (loosen) }

Question 17

Thrombin inhibitors block the action of _________ which converts _________ to __________ to form clots.

Answer 17

Thrombin
Fibrinogen
Fibrin

Question 18

_____________ are drugs that interfere with blood clotting, preventing the activation of platelets.

Answer 18

Antiplatelet

Question 19

Travels through the bloodstream and blocks vessels:

Answer 19

Embolus

Question 20

Process by which blood clots form:

Answer 20

Coagulation

Question 21

Protein essence of a blood clot:

Answer 21

Fibrin

Question 22

Blood clot in a vessel or the heart:

Answer 22

Thrombus

Question 23

Profuse bleeding:

Answer 23

Hemorrhage

Question 24

Converts fibrinogen to fibrin:

Answer 24

Thrombin

Question 25

Blood test used to report results of warfarin anticoagulation:

Answer 25

INR

Question 26

_______________ combine with proteins in the plasma to stick together and form a clot.

Answer 26

Platelets

Question 27

Vitamin K is the antidote for _______________.

Answer 27

warfarin (Coumadin)

Question 28

Rubbing the injection side after administering subcutaneous heparin is likely to cause:

Answer 28

Bruising

Question 29

Colony-stimulating factors increase the patients risk for hypertension, blood clots, strokes, and hear attacks because of increased blood __________ and __________ retention.

Answer 29

Viscosity | fluid

Question 30

When a pt is taking an anticoagulant medication, a careful medication history review is completed. Which OTC and herbal medications could cause additional bleeding?

Answer 30

1. Aspirin 2. Ginkgo biloba 3. St. Johns Wort

Question 31

A pt who is pregnant has a venous thromboembolism. Which medication will most likely be prescribed?

Answer 31

Heparin

Question 32

Which statement best demonstrates a patients understanding of how warfarin (Coumadin) works to help after heart valve replacement surgery?

Answer 32

1. It will make me bruise and bleed more easily, so I must be careful 2. New clots will not form as easily in my heart valves 3. Any clots that I still have will not get any bigger

Question 33

Which lab tests are used to monitor the effectiveness of heparin administration to a pt who has had a venous thromboembolism (VTE)?

Answer 33

Activated partial thromboplastin time (aPPT)

Question 34

A pt who is taking warfarin (Coumadin) therapy is instructed to avoid which foods?

Answer 34

1. Spinach 2. Kale 3. Broccoli

Question 35

A pt on renal dialysis who is anemic is most likely to be administered which medication?

Answer 35

Epoetin alfa (Epogen, Procrit)

Question 36

A pt who is taking a clotting factor synthesis inhibitor such as warfarin (Coumadin) should be monitored for which serious A/E?

Answer 36

Head aches that are severe and will not go away

Question 37

What are important lifespan considerations for an older adult who is taking warfarin (Coumadin)?

Answer 37

1. Aspirin increases the action of warfarin 2. Older adults are more likely to develop bruises and bleeding 3. Older adults need more frequent monitoring of INR

Question 38

Which important instruction should be included when teaching patients about colony-stimulating factor therapy?

Answer 38

Remind the patient to keep scheduled lab appointments for blood tests to monitor therapy

Question 39

Several pts are receiving heparin. Which medication must be available on the unit as an antidote?

Answer 39

Protamine sulfate

Question 40

Before administering a thrombolytic drug, the nurse assesses for which absolute contraindication?

Answer 40

Recent spinal or cerebral surgery

Question 41

Diet instructions have been provided to a pt who will be taking warfarin (Coumadin) for several weeks. Which menu selection indicates the need for further instructions?

Answer 41

Spinach salad with bacon dressing

Question 42

A pt has recently been given an intravenous injection of heparin. Which vital sign changes should be reported as signs of a hemorrhage?

Answer 42

Decreased blood pressure and increased pulse