C HAPTER 26: D RUGS U SED TO T REAT
T HROMBOEMBOLIC D ISORDERS
Willihnganz: Clayton’s Basic Pharmacology for Nurses, 19th Edition
MULTIPLE CHOICE
1. Dipyridamole (Persantine) has been used extensivel y in combination with
warfarin to prevent the formation of thromboembolism after which t ype of
event?
a. M yocardial infarction
b. Transient ischemic attack
c. Cardiac valve replacement
d. Heart transplant
ANS: C
Dipyridamole has been used extensivel y in combination with warfarin to
prevent the formation of thromboembolism after cardiac valve replacement.
Heparin is used to prevent clotting after myocardial infarction. Transient
ischemic attacks are often treated with aspirin. Transplant patients are treated
postoperativel y with immunosuppr essant medications.
DIF: Cognitive Level: Comprehension REF: p. 433 OBJ: 1 |
2
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Implementation
CON: Clinical Judgment | Safet y | Perfusion | Clotting
, 2. Which action will the nurse implement to decrease the risk of clot
formation in an older patient on bed rest?
a. Assess peripheral pulses.
b. Encourage passive leg exercises.
c. Limit fluid intake.
d. Position pillows behind the knees.
ANS: B
Using active or passive leg exercis es for a patient on bed rest will prevent
clot formation. Assessing pulses is not a preventive measure. Adequate
hydration promotes fluidit y of the blood and decreases the risk of clot
formation. Placing pressure against the popliteal space will increase t he risk
of clot formation.
DIF: Cognitive Level: Application REF: p. 420 OBJ: 1
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Implementation
CON: Clinical Judgment | Safet y | Perfusion | Clotting
3. The nurse is teac hing a patient about dietary implications while on warfarin
(Coumadin) therapy. Which salad is highest in vitamin K?
a. Fruit
b. Pasta
c. Potato
d. Spinach
ANS: D
Green leafy vegetables contain vitamin K.
DIF: Cognitive Level: Comprehension REF: p. 420 OBJ: 4
NAT: NCLEX Client Needs Category: Physiological Integrit y
T HROMBOEMBOLIC D ISORDERS
Willihnganz: Clayton’s Basic Pharmacology for Nurses, 19th Edition
MULTIPLE CHOICE
1. Dipyridamole (Persantine) has been used extensivel y in combination with
warfarin to prevent the formation of thromboembolism after which t ype of
event?
a. M yocardial infarction
b. Transient ischemic attack
c. Cardiac valve replacement
d. Heart transplant
ANS: C
Dipyridamole has been used extensivel y in combination with warfarin to
prevent the formation of thromboembolism after cardiac valve replacement.
Heparin is used to prevent clotting after myocardial infarction. Transient
ischemic attacks are often treated with aspirin. Transplant patients are treated
postoperativel y with immunosuppr essant medications.
DIF: Cognitive Level: Comprehension REF: p. 433 OBJ: 1 |
2
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Implementation
CON: Clinical Judgment | Safet y | Perfusion | Clotting
, 2. Which action will the nurse implement to decrease the risk of clot
formation in an older patient on bed rest?
a. Assess peripheral pulses.
b. Encourage passive leg exercises.
c. Limit fluid intake.
d. Position pillows behind the knees.
ANS: B
Using active or passive leg exercis es for a patient on bed rest will prevent
clot formation. Assessing pulses is not a preventive measure. Adequate
hydration promotes fluidit y of the blood and decreases the risk of clot
formation. Placing pressure against the popliteal space will increase t he risk
of clot formation.
DIF: Cognitive Level: Application REF: p. 420 OBJ: 1
NAT: NCLEX Client Needs Category: Physiological Integrit y
TOP: Nursing Process Step: Implementation
CON: Clinical Judgment | Safet y | Perfusion | Clotting
3. The nurse is teac hing a patient about dietary implications while on warfarin
(Coumadin) therapy. Which salad is highest in vitamin K?
a. Fruit
b. Pasta
c. Potato
d. Spinach
ANS: D
Green leafy vegetables contain vitamin K.
DIF: Cognitive Level: Comprehension REF: p. 420 OBJ: 4
NAT: NCLEX Client Needs Category: Physiological Integrit y
