NRSG 2700 Exam 7 Drugs UPDATED
ACTUAL Questions and CORRECT
Answers
warfarin - CORRECT ANSWER -anticoagulant
warfarin MOA - CORRECT ANSWER -decreases synthesis of vitamin K clotting factors
-II, VII, IX, and X
warfarin expected therapeutic effects - CORRECT ANSWER -prevention and treatment of
thrombosis/embolism
-DVT and PE
decreases risk of embolism resulting from atrial fibrillation
decreases risk of embolism from prosthetic heart valves
used as adjunct in treatment of transient ischemic attacks (TIAs) and myocardial infarction (MI)
does NOT lyse existing thrombi
warfarin contraindications - CORRECT ANSWER -bleeding disorder
active bleeding
peptic ulcer
severe hepatic or renal disease
hemophilia
intracranial bleeding
recent trauma
pregnancy
warfarin potential side effects - CORRECT ANSWER -minor or major bleeding, fatal hemorrhage
(BBW)
,purple toe syndrome
hepatitis, jaundice
osteoporosis with long term use
warfarin potential interactions - CORRECT ANSWER -extensive drug interactions
warfarin nursing considerations - CORRECT ANSWER -given orally only
antidote is vitamin K
monitor INR: therapeutic range is typically 2-3
warfarin patient and family teaching - CORRECT ANSWER -hold drug and notify provider if
bleeding occurs
take drug exactly as ordered
check labs as ordered (at least monthly)
maintain consistent intake of vitamin K
avoid excess alcohol intake
use soft toothbrush, electric razor
use contraception and notify provider immediately if pregnancy is suspected
do not add any medications without consulting provider
heparin - CORRECT ANSWER -anticoagulant
heparin MOA - CORRECT ANSWER -enhances anti-thrombin III, blocks conversion of
prothrombin to thrombin and fibrinogen to fibrin
heparin expected therapeutic effects - CORRECT ANSWER -prevention and treatment of
thrombosis/embolism
-DVT and PE
prevent thromboembolic complications from surgery, frostbite, and MI
, used in dialysis, blood transfusions, indwelling catheters
treatment of disseminated intravascular coagulation (DIC)
does NOT lyse existing clots
heparin contraindications - CORRECT ANSWER -bleeding disorder
peptic ulcer
hemophilia
intracranial bleeding
trauma
severe HTN
active bleeding
hypersensitivity
heparin cautions - CORRECT ANSWER -severe hepatic or renal disease
heparin potential side effects or adverse reactions - CORRECT ANSWER -spontaneous bleeding,
ecchymosis
osteoporosis with long term use
life threatening: hemorrhage, heparin-induced thrombocytopenia, bronchospasm, anaphylaxis (rare)
epidural or spinal hematomas in patients receiving spinal anesthesia or lumbar puncture (BBW)
heparin potential interactions - CORRECT ANSWER -increased risk of bleeding with other
anticoagulants, several herbs
heparin nursing considerations - CORRECT ANSWER -given IV and SQ only
antidote is protamine sulfate
monitor aPTT: therapeutic range is typically 1.5 to 2.5 times normal
monitor vital signs, CBC
assess for bleeding
ACTUAL Questions and CORRECT
Answers
warfarin - CORRECT ANSWER -anticoagulant
warfarin MOA - CORRECT ANSWER -decreases synthesis of vitamin K clotting factors
-II, VII, IX, and X
warfarin expected therapeutic effects - CORRECT ANSWER -prevention and treatment of
thrombosis/embolism
-DVT and PE
decreases risk of embolism resulting from atrial fibrillation
decreases risk of embolism from prosthetic heart valves
used as adjunct in treatment of transient ischemic attacks (TIAs) and myocardial infarction (MI)
does NOT lyse existing thrombi
warfarin contraindications - CORRECT ANSWER -bleeding disorder
active bleeding
peptic ulcer
severe hepatic or renal disease
hemophilia
intracranial bleeding
recent trauma
pregnancy
warfarin potential side effects - CORRECT ANSWER -minor or major bleeding, fatal hemorrhage
(BBW)
,purple toe syndrome
hepatitis, jaundice
osteoporosis with long term use
warfarin potential interactions - CORRECT ANSWER -extensive drug interactions
warfarin nursing considerations - CORRECT ANSWER -given orally only
antidote is vitamin K
monitor INR: therapeutic range is typically 2-3
warfarin patient and family teaching - CORRECT ANSWER -hold drug and notify provider if
bleeding occurs
take drug exactly as ordered
check labs as ordered (at least monthly)
maintain consistent intake of vitamin K
avoid excess alcohol intake
use soft toothbrush, electric razor
use contraception and notify provider immediately if pregnancy is suspected
do not add any medications without consulting provider
heparin - CORRECT ANSWER -anticoagulant
heparin MOA - CORRECT ANSWER -enhances anti-thrombin III, blocks conversion of
prothrombin to thrombin and fibrinogen to fibrin
heparin expected therapeutic effects - CORRECT ANSWER -prevention and treatment of
thrombosis/embolism
-DVT and PE
prevent thromboembolic complications from surgery, frostbite, and MI
, used in dialysis, blood transfusions, indwelling catheters
treatment of disseminated intravascular coagulation (DIC)
does NOT lyse existing clots
heparin contraindications - CORRECT ANSWER -bleeding disorder
peptic ulcer
hemophilia
intracranial bleeding
trauma
severe HTN
active bleeding
hypersensitivity
heparin cautions - CORRECT ANSWER -severe hepatic or renal disease
heparin potential side effects or adverse reactions - CORRECT ANSWER -spontaneous bleeding,
ecchymosis
osteoporosis with long term use
life threatening: hemorrhage, heparin-induced thrombocytopenia, bronchospasm, anaphylaxis (rare)
epidural or spinal hematomas in patients receiving spinal anesthesia or lumbar puncture (BBW)
heparin potential interactions - CORRECT ANSWER -increased risk of bleeding with other
anticoagulants, several herbs
heparin nursing considerations - CORRECT ANSWER -given IV and SQ only
antidote is protamine sulfate
monitor aPTT: therapeutic range is typically 1.5 to 2.5 times normal
monitor vital signs, CBC
assess for bleeding
