NURS 437 Adult 2 Exam #1 Questions with Correct Answers
indications for anticoagulants - ✔✔prophylaxis of DVT, prevention and treatment
of VTE, PE, and AFib with emboilzation
contraindications for anticoagulants - ✔✔bleeding tendencies (hemorrhagic
disorders, clotting disorders)
GI ulcers (active)
recent trauma
spinal puncture
recent surgery
IUD placement
TB (?)
presence of indwelling catheter
threatened abortion
*CAUTION in hepatic and renal disease pts*
adverse effects for anticoagulants - ✔✔bleeding, headache, dizziness, weakness,
heparin induced thrombocytopenia, anemia
nursing care for anticoagulants - ✔✔evaluate patient regularly for signs of
bleeding (bruising, petechiae, bleeding gums, epistaxis, dark-stools, hematuria or
dark urine)
establish safety precautions to keep patient from becoming injured and possibly
bleeding out
,use electric razor, soft bristled tooth brush, avoid contact sports
provide increased precautions against bleeding for procedures (pressure
dressings, avoid IM injections, do not rub SQ injection sites)
route for warfarin - ✔✔PO and IV
anticoagulant of choice for acute situations - ✔✔heparin!! *not warfarin d/t
delayed onset*
antidote for warfarin - ✔✔vitamin K
important diet teaching point for patient on warfarin - ✔✔don't ingest large
amounts of foods high in vitamin K (can counteract the warfarin bc vitamin K is
antidote)
route for enoxaparin - ✔✔SQ injection
route for heparin - ✔✔IV or SQ (abdomen)
dosing for warfarin is based off of (what lab) - ✔✔INR
therapeutic range for INR - ✔✔2-3
, heparin dosing based on (what lab) - ✔✔PTT
therapeutic range for PTT - ✔✔46-70
don't use heparin with these other meds: - ✔✔aspirin and NSAIDS (increases risk
of bleeding)
antidote for heparin - ✔✔protamine sulfate
what drug class is milrinone - ✔✔inotrope
indications for inotropes - ✔✔short-term treatment of HF patients who do not
respond to other therapies (digitalis, diuretics, vasodilators)
what drug class is dobutamine - ✔✔inotrope
what drug class is dopamine - ✔✔inotrope
contraindications for inotropes - ✔✔severe aortic or pulmonic valvular disease
acute MI
fluid volume deficit
indications for anticoagulants - ✔✔prophylaxis of DVT, prevention and treatment
of VTE, PE, and AFib with emboilzation
contraindications for anticoagulants - ✔✔bleeding tendencies (hemorrhagic
disorders, clotting disorders)
GI ulcers (active)
recent trauma
spinal puncture
recent surgery
IUD placement
TB (?)
presence of indwelling catheter
threatened abortion
*CAUTION in hepatic and renal disease pts*
adverse effects for anticoagulants - ✔✔bleeding, headache, dizziness, weakness,
heparin induced thrombocytopenia, anemia
nursing care for anticoagulants - ✔✔evaluate patient regularly for signs of
bleeding (bruising, petechiae, bleeding gums, epistaxis, dark-stools, hematuria or
dark urine)
establish safety precautions to keep patient from becoming injured and possibly
bleeding out
,use electric razor, soft bristled tooth brush, avoid contact sports
provide increased precautions against bleeding for procedures (pressure
dressings, avoid IM injections, do not rub SQ injection sites)
route for warfarin - ✔✔PO and IV
anticoagulant of choice for acute situations - ✔✔heparin!! *not warfarin d/t
delayed onset*
antidote for warfarin - ✔✔vitamin K
important diet teaching point for patient on warfarin - ✔✔don't ingest large
amounts of foods high in vitamin K (can counteract the warfarin bc vitamin K is
antidote)
route for enoxaparin - ✔✔SQ injection
route for heparin - ✔✔IV or SQ (abdomen)
dosing for warfarin is based off of (what lab) - ✔✔INR
therapeutic range for INR - ✔✔2-3
, heparin dosing based on (what lab) - ✔✔PTT
therapeutic range for PTT - ✔✔46-70
don't use heparin with these other meds: - ✔✔aspirin and NSAIDS (increases risk
of bleeding)
antidote for heparin - ✔✔protamine sulfate
what drug class is milrinone - ✔✔inotrope
indications for inotropes - ✔✔short-term treatment of HF patients who do not
respond to other therapies (digitalis, diuretics, vasodilators)
what drug class is dobutamine - ✔✔inotrope
what drug class is dopamine - ✔✔inotrope
contraindications for inotropes - ✔✔severe aortic or pulmonic valvular disease
acute MI
fluid volume deficit
