BSN 315 EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED LATEST UPDATE. GRADED A++
A nurse is caring for a client who has a history of coronary thrombosis and is
taking warfarin as a long term anticoagulant therapy, What laboratory test should
the nurse monitor to evaluate the effetiveness of warfarin?
A. aPTT
B. INR
C. Platelet count
D. Fibrinogen level
C. INR
Rationale:
INR is a standaraized measure of the prothrombin time (PT). Which reflects the activity
of the extrensic and common pathways of coagulation.
Warfarin is an anticoagulant that inhibits the synthesis of vitamin k dependent clotting
factors (II, VII, IX and X) which are involved in these pathways
Therefore the INR is used to monitor the effectivenss of warfarin therapy and adjust
dose accordingly. Target INR between 2 and 3
, The nurse is teaching a client who is prescribed clopidrogel an antiplatelet drug
to prevent recurrent strokes. Which of the following statements should the
include in the teaching/ SATA
A. You should avoid taking aspirin or other NSAIDs while on this medication
B. You should report any signs of bleeding such as nosebleeds, bruising or black
stools to your provider
C. You should take this medication with food to prevent GI upset
D. You should have your BP checked regularly on this med
E. You shold stop taking this med at least 5 days before any planned surgery
A.
B.
E.
Rationale:
Clopidogrel is an antiplatelet drug that inhibits the ability of platelets to clump together
as part of a blood clot it is used to prevent recurrent stroke and other cardiovascular
events in people who are at high risk.
A. Taking aspirin or NSAIDs while on clopidogrel can increase the risk of bleeding.
These drugs also affect platelet function and can interfere with the action of clopidogrel.
B. Bleeding is the most common side effect of clopdogrel any signs of bleeding such as
nosebleeds bruising and black stools should be reported to HCP they may indicate a
serious complication
E. Clopidogrel should be stopped at least 5 days before any planned sx this is to reduce
SOLUTIONS VERIFIED LATEST UPDATE. GRADED A++
A nurse is caring for a client who has a history of coronary thrombosis and is
taking warfarin as a long term anticoagulant therapy, What laboratory test should
the nurse monitor to evaluate the effetiveness of warfarin?
A. aPTT
B. INR
C. Platelet count
D. Fibrinogen level
C. INR
Rationale:
INR is a standaraized measure of the prothrombin time (PT). Which reflects the activity
of the extrensic and common pathways of coagulation.
Warfarin is an anticoagulant that inhibits the synthesis of vitamin k dependent clotting
factors (II, VII, IX and X) which are involved in these pathways
Therefore the INR is used to monitor the effectivenss of warfarin therapy and adjust
dose accordingly. Target INR between 2 and 3
, The nurse is teaching a client who is prescribed clopidrogel an antiplatelet drug
to prevent recurrent strokes. Which of the following statements should the
include in the teaching/ SATA
A. You should avoid taking aspirin or other NSAIDs while on this medication
B. You should report any signs of bleeding such as nosebleeds, bruising or black
stools to your provider
C. You should take this medication with food to prevent GI upset
D. You should have your BP checked regularly on this med
E. You shold stop taking this med at least 5 days before any planned surgery
A.
B.
E.
Rationale:
Clopidogrel is an antiplatelet drug that inhibits the ability of platelets to clump together
as part of a blood clot it is used to prevent recurrent stroke and other cardiovascular
events in people who are at high risk.
A. Taking aspirin or NSAIDs while on clopidogrel can increase the risk of bleeding.
These drugs also affect platelet function and can interfere with the action of clopidogrel.
B. Bleeding is the most common side effect of clopdogrel any signs of bleeding such as
nosebleeds bruising and black stools should be reported to HCP they may indicate a
serious complication
E. Clopidogrel should be stopped at least 5 days before any planned sx this is to reduce
