Coagulation
1. A patient is admitted to the hospital with deep vein thrombosis. Heparin 10,000 units
is administered Sub-Q. Which of the following drugs should always be available in the
pharmacy if the patient begins to bleed?
A) Antithrombin (Thrombate III)
B) Desirudin (Iprivask)
C) Protamine sulfate
D) Vitamin K
2. Prior to beginning anticoagulant therapy the nurse will question their female
patient about what?
A) Last menstrual period
B) Peptic ulcers
C) Urinary tract infection
D) Weight
3. You are caring for a mother who is nursing her 3-month-old infant. The mother requires
an anticoagulant after a venous thrombosis. What will the nurse instruct the mother to
do?
A) Wait an hour after taking the anticoagulant before feeding the infant
B) Push fluids to clear the drug from her system before feeding the infant
C) Find another method of feeding the infant while on this drug
D) Feed the infant before taking the anticoagulant
4. You work in the Emergency Department (ED) of a small rural hospital. A 54-year-old
man arrives in your ED and it is determined that he is having an acute myocardial
infarction. Before transferring the patient to a larger facility that has a heart
catheterization laboratory, what drug will you administer?
A) Anagrelide (Agrylin)
B) Clopidogrel (Plavix)
C) Ticlopidine (Ticlid)
D) Streptokinase (Streptase)
5. A nurse is preparing to discharge a patient newly prescribed warfarin (Coumadin).
While assessing the patient's knowledge of their drug, what would indicate that
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, the patient needs further instruction concerning her drug therapy?
A) “I love to eat homegrown tomatoes in the summer.”
B) “I take aspirin for my arthritis.”
C) “I walk two miles a day.”
D) “I drink a glass of wine about once a week.”
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