Chapter 18: Drugs Affecting the Hematopoietic System
Multiple Choice
Identify the choice that best completes the statement or answers the question.
_b___ 1. Kenneth is taking warfarin and is asking about what he can take for
minor aches and pains. The best recommendation is:
A. Ibuprofen 400 mg three times a
day
B. Acetaminophen, not to exceed 4
grams per day
C. Prescribe acetaminophen with
codeine
D. Aspirin 640 mg three times a day
__b__ 2. Juanita had a DVT and was on heparin in the hospital and was
discharged on warfarin. She asks her primary care provider NP why she
was getting both medications while in the hospital. The best response
is to:
A. Contact the hospitalist as this is
not the normal guideline for
proscribing these two
medications and she may have
had a more complicated case
B. Explain that warfarin is often
started while a patient is still on
heparin because warfarin takes a
few days to reach effectiveness
C. Encourage the patient to contact
the Customer Service
department at the hospital as
this was most likely a medication
error during her admission
D. Draw anticoagulation studies to
make sure she does not have
dangerously high bleeding times
__d__ 3. The safest drug to use to treat pregnant women who require
anticoagulant therapy is:
A. Low molecular weight heparin
B. Warfarin
C. Aspirin
D. Heparin
__c__ 4. The average starting dose of warfarin is 5 mg daily. Higher doses of 7.5
This study source was downloaded by 100000815344559 from CourseHero.com on 04-29-2022 05:15:42 GMT -05:00
https://www.coursehero.com/file/13633085/Ch18/
, mg daily should be considered in which patients?
A. Pregnant women
B. Elderly men
C. Overweight or obese patients
D. Patients with multiple
comorbidities
__d__ 5. Cecil and his wife are traveling to Southeast Asia on vacation and he
has come into the clinic to review his medications. He is healthy with
only mild hypertension that is well controlled. He asks about getting “a
shot” to prevent blood clots like his friend Ralph did before
international travel. The correct respond would be:
A. Administer one dose of low-
molecular weight heparin 24
hours before travel
B. Prescribe one dose of warfarin to
be taken the day of travel
C. Consult with a hematologist
regarding a treatment plan for
Cecil
D. Explain that Cecil is not at high
risk of a blood clot and provide
education about how to prevent
blood clots while traveling
__b__ 6. Robert, age 51 years, has been told by his primary care provider (PCP)
to take an aspirin a day. Why would this be recommended?
A. He has arthritis and this will help
with the inflammation and pain.
B. Aspirin has anti-platelet activity
and prevents clots that cause
heart attacks.
C. Aspirin acidifies the urine and he
needs this for prostrate health.
D. He has a history of GI bleed, and
one aspirin a day is a safe dose.
_a___ 7. Sally has been prescribed aspirin 320 mg per day for her atrial
fibrillation. She also takes aspirin four or more times a day for arthritis
pain. What are the symptoms of aspirin toxicity she would need to be
evaluated for:
A. Tinnitus
B. Diarrhea
C. Hearing loss
D. Photosensitivity
This study source was downloaded by 100000815344559 from CourseHero.com on 04-29-2022 05:15:42 GMT -05:00
https://www.coursehero.com/file/13633085/Ch18/
Multiple Choice
Identify the choice that best completes the statement or answers the question.
_b___ 1. Kenneth is taking warfarin and is asking about what he can take for
minor aches and pains. The best recommendation is:
A. Ibuprofen 400 mg three times a
day
B. Acetaminophen, not to exceed 4
grams per day
C. Prescribe acetaminophen with
codeine
D. Aspirin 640 mg three times a day
__b__ 2. Juanita had a DVT and was on heparin in the hospital and was
discharged on warfarin. She asks her primary care provider NP why she
was getting both medications while in the hospital. The best response
is to:
A. Contact the hospitalist as this is
not the normal guideline for
proscribing these two
medications and she may have
had a more complicated case
B. Explain that warfarin is often
started while a patient is still on
heparin because warfarin takes a
few days to reach effectiveness
C. Encourage the patient to contact
the Customer Service
department at the hospital as
this was most likely a medication
error during her admission
D. Draw anticoagulation studies to
make sure she does not have
dangerously high bleeding times
__d__ 3. The safest drug to use to treat pregnant women who require
anticoagulant therapy is:
A. Low molecular weight heparin
B. Warfarin
C. Aspirin
D. Heparin
__c__ 4. The average starting dose of warfarin is 5 mg daily. Higher doses of 7.5
This study source was downloaded by 100000815344559 from CourseHero.com on 04-29-2022 05:15:42 GMT -05:00
https://www.coursehero.com/file/13633085/Ch18/
, mg daily should be considered in which patients?
A. Pregnant women
B. Elderly men
C. Overweight or obese patients
D. Patients with multiple
comorbidities
__d__ 5. Cecil and his wife are traveling to Southeast Asia on vacation and he
has come into the clinic to review his medications. He is healthy with
only mild hypertension that is well controlled. He asks about getting “a
shot” to prevent blood clots like his friend Ralph did before
international travel. The correct respond would be:
A. Administer one dose of low-
molecular weight heparin 24
hours before travel
B. Prescribe one dose of warfarin to
be taken the day of travel
C. Consult with a hematologist
regarding a treatment plan for
Cecil
D. Explain that Cecil is not at high
risk of a blood clot and provide
education about how to prevent
blood clots while traveling
__b__ 6. Robert, age 51 years, has been told by his primary care provider (PCP)
to take an aspirin a day. Why would this be recommended?
A. He has arthritis and this will help
with the inflammation and pain.
B. Aspirin has anti-platelet activity
and prevents clots that cause
heart attacks.
C. Aspirin acidifies the urine and he
needs this for prostrate health.
D. He has a history of GI bleed, and
one aspirin a day is a safe dose.
_a___ 7. Sally has been prescribed aspirin 320 mg per day for her atrial
fibrillation. She also takes aspirin four or more times a day for arthritis
pain. What are the symptoms of aspirin toxicity she would need to be
evaluated for:
A. Tinnitus
B. Diarrhea
C. Hearing loss
D. Photosensitivity
This study source was downloaded by 100000815344559 from CourseHero.com on 04-29-2022 05:15:42 GMT -05:00
https://www.coursehero.com/file/13633085/Ch18/
