Basic Pharmacology for Nurses (18th Edition) - Chapter 26 Interactive Review Questions

Basic Pharmacology for Nurses (18th Edition) - Chapter 26 Interactive Review Questions Which symptoms are most suggestive of the need to adjust warfarin (Coumadin) dosage? - Nosebleeds, petechiae, menorrhagia. Which is the expected action of heparin when used to treat deep vein thrombosis (DVT)? - Prevent clot formation. Which instruction does the nurse give to a patient who is ordered aspirin 325 mg PO bid (twice per day) for the prevention of thrombi? - "Take the aspirin with breakfast and supper." A patient comes to the clinic reporting unexplained bruising and bloody appearing urine. Which type of medication is most important for the nurse to determine if the patient is taking? - Anticoagulants. The patient undergoing heparin therapy has hematemesis, dark, tarry stools, tachycardia, and hypotension. Which drug would the nurse anticipate to be ordered? - Protamine sulfate. Which signs and symptoms is a patient taking clopidogrel (Plavix) instructed to report to the healthcare provider immediately? - Fever, sore throat, excessive fatigue. Which coexisting condition should be reported to the healthcare provider when reviewing the history of a patient taking heparin? - Peptic ulcer disease. The patient is receiving warfarin (Coumadin) for the prevention of venous thrombosis. Which instruction with the nurse include in the patient's teaching plan? - "Use a soft-bristled toothbrush to brush teeth." The nurse is instructing a patient about the administration of fondaparinux (Arixtra). Which statement by the patient indicates a correct understanding about the administration of the drug? - "I should not rub the injection site after injecting the medication." The nurse is caring for a patient undergoing heparin therapy. Which laboratory test should be ordered to measure the effectiveness of the heparin therapy? - aPTT. The nurse finds that a patient has an obstructed central venous catheter. Which drug does the nurse administer to reopen the catheter? - Alteplase (tPA). The nurse is reviewing the medication history of a patient who has been prescribed warfarin (Coumadin). Which agent taken by the patient would be contraindicated? - Ginkgo biloba. Which laboratory values should the nurse assess before administering dalteparin (Fragmin) to a patient? - Complete blood count (CBC). Which statement about the action of fondaparinux (Arixtra) is true? - Fondaparinux is a selective factor Xa inhibitor.