1. Question
A nurse is providing instructions to a client who is receiving warfarin sodium
(Coumadin). Which statement made by the client indicates the need for further
instruction?
A. "I will observe the color of my urine and stool".
B. "I will take Ecotrin (Enteric-coated aspirin) for my headaches".
Correct Answer
C. "I will avoid drinking alcohol".
D. "I will use a hair removing cream on my legs".
Incorrect
Incorrect
Correct Answer: B. “I will take Ecotrin (Enteric-coated aspirin) for my headaches”.
Ecotrin is an aspirin-containing product and should be avoided due to the risk of
bleeding.
,Option A: The color of the urine and stool will be helpful to check for signs of
bleeding.
Option C: Alcohol has an antiplatelet effect that increases the risk of bleeding
while on warfarin therapy.
Option D: Wet shaving or removing hair with wax might cause an injury or cut, a
hair removing cream is advisable instead.
2. Question
A nurse is caring for a client receiving a heparin intravenous (IV) infusion. The
nurse expects that which of the following laboratory will be prescribed to monitor
the therapeutic effect of heparin?
A. Prothrombin time (PT)
B. Activated partial thromboplastin time (aPTT)
Correct
C. Hematocrit (Hgb)
D. Hemoglobin (Hct)
Correct
Correct Answer: B. Activated partial thromboplastin time (aPTT)
Activated partial thromboplastin time assesses the therapeutic level of heparin.
, Option A: Prothrombin time (PT) assesses the therapeutic level of warfarin
sodium (Coumadin).
Options C & D: Hematocrit (Hgb) and Hemoglobin (Hct) measure the aspect of the
red blood cells.
3. Question
A client with atrial fibrillation is receiving a continuous heparin infusion at 1,000
units/hr. The nurse observes that the client is receiving the therapeutic effect
based on which of the following results?
A. Activated partial thromboplastin time of 30 seconds.
Incorrect
B. Activated partial thromboplastin time of 60 seconds.
Correct Answer
C. Activated partial thromboplastin time of 120 seconds.
D. Activated partial thromboplastin time of 15 seconds.
Incorrect
Correct Answer: B. Activated partial thromboplastin time of 60 seconds.