Which drug is used to stop bleeding associated with heparin overdose? A. urokinase (Abbokinase). B. aminocaproic acid (Amicar). C. protamine sulfate (Protamine). D. vitamin K (AquaMEPHYTON). Correct Answer: C. protamine sulfate (Protamine). Protamine is the drug used to reverse the adverse effects of bleeding that occurs with… Read More »
Blurred vision or halos are signs of: A. Subtherapeutic digoxin levels. B. Digoxin toxicity. C. Nothing related to digoxin. D. Corneal side effects of digoxin. Correct Answer: B. Digoxin toxicity. Halos is a hallmark sign of digoxin toxicity. Digoxin exhibits its therapeutic and toxic effects by poisoning… Read More »
During the warfarin (Coumadin) administration, the nurse can expect that the initial extension of PT occurs within how many hours after therapy begins? A. 1 to 2 B. 4 to 6 C. 8 to 12 D. 12 to 24 Correct Answer: C. 8 to 12. Initial extension… Read More »
A nurse is providing instructions to a client who is receiving warfarin sodium (Coumadin). Which statement made by the client indicates the need for further instruction? A. “I will observe the color of my urine and stool”. B. “I will take Ecotrin (Enteric-coated aspirin) for my headaches”. C. “I will avoid drinking… Read More »
A nurse is caring for a client receiving a heparin intravenous (IV) infusion. The nurse expects that which of the following laboratory will be prescribed to monitor the therapeutic effect of heparin? A. Prothrombin time (PT) B. Activated partial thromboplastin time (aPTT) C. Hematocrit (Hgb) D. Hemoglobin (Hct) … Read More »
A client with atrial fibrillation is receiving a continuous heparin infusion at 1,000 units/hr. The nurse observes that the client is receiving the therapeutic effect based on which of the following results? A. Activated partial thromboplastin time of 30 seconds. B. Activated partial thromboplastin time of 60 seconds. C. Activated partial thromboplastin… Read More »
A client is receiving intravenous heparin therapy. The nurse ensures the availability of which of the following medication? A. acetylcysteine (Mucomyst) B. calcium gluconate (Calcium gluconate) C. vitamin K (Mephyton) D. protamine sulfate (Protamine) Correct Answer: D. protamine sulfate (Protamine) Protamine sulfate is the antidote that reverses… Read More »
A client is receiving a continuous infusion of streptokinase (Streptase). The client suddenly complains of a difficulty of breathing, itchiness, and nausea. Which of the following should be the priority action of the nurse? A. Stop the infusion and notify the physician. B. Administer protamine sulfate and provide oxygen therapy. C. Administer… Read More »
A client with deep vein thrombosis is receiving Streptokinase (Streptase). The nurse would notify the physician if which of the following assessments is noted? A. A temperature of 99.2° Fahrenheit. B. A pulse rate of 99 beats per minute. C. A respiratory rate of 25 breaths per minute. D. A blood… Read More »
A client who is receiving streptokinase therapy suddenly had a nosebleed. The nurse ensures the availability of which of the following medication? A. vitamin K (Mephyton) B. deferoxamine (Desferal) C. aminocaproic acid (Amicar) D. diphenhydramine (Benadryl) Correct Answer: C. aminocaproic acid (Amicar) Bleeding can be reversed with… Read More »