Question 1

A patient is taking anticoagulant therapy.Which of the following natural health products should the patient avoid taking?

Accepted Answer

Capsicum pepper,feverfew,garlic,ginger,ginkgo,and ginseng are some of the natural health products that have potential interactions with anticoagulants,especially with warfarin (Coumadin).

Question 2

Which of the following is a true statement about dipyridamole (Persantine)?

Accepted Answer

Dipyridamole is used as an adjunct to warfarin (Coumadin)in the prevention of postoperative thromboembolic complications.

Question 3

Which of the following laboratory studies is used to monitor the therapeutic effects of warfarin (Coumadin)?

Accepted Answer

INR is a routine test to evaluate coagulation while patients are on warfarin.

Question 4

A male patient will be receiving streptokinase (SK)as part of the treatment for acute myocardial infarction.He asks why he is being prescribed this drug.Which of the following is the nurse's best explanation to the patient?

Accepted Answer

Streptokinase,a thrombolytic drug,dissolves thrombi in the coronary arteries.

Question 5

A patient has started on anticoagulant drugs.When the nurse is explaining the drug therapy,which of the following best describes the primary goal?

Accepted Answer

Anticoagulants prevent thrombus formation and do not dissolve an existing thrombus.

Question 6

The nurse is administering heparin subcutaneously.Which of the following instructions is correct?

Accepted Answer

A new 1.5 cm (5/8-inch),25- to 28-gauge needle is used for proper subcutaneous injection and to ensure no residual medication remains on the needle after the medication is withdrawn.

Question 7

A female patient has been prescribed warfarin (Coumadin)in addition to a heparin infusion.What is the reason for her receiving two anticoagulants?

Accepted Answer

When oral anticoagulants are prescribed,heparin is often also prescribed to initiate therapy until laboratory tests indicate an adequate therapeutic response has been achieved.

Question 8

What is the recommended antidote for warfarin (Coumadin)toxicity?

Accepted Answer

High doses of vitamin K given intravenously should reverse the anticoagulation effects of warfarin toxicity.

Question 9

A patient who is taking warfarin (Coumadin)therapy has a headache and wants to take a pain reliever.Which of the following actions is recommended?

Accepted Answer

Acetaminophen should be safe to take in regular doses.
High doses of acetaminophen,aspirin,and NSAIDs may cause an increased anticoagulant effect.Taking an opioid for a headache may not be appropriate.

Question 10

Which of the following laboratory studies is used to monitor the therapeutic effects of heparin?

Accepted Answer

Ongoing aPTT values are used to monitor heparin therapy.

Question 11

What is the most frequent undesirable adverse effect of thrombolytic therapy?

Accepted Answer

Bleeding,both internal and superficial,is the most frequent undesirable adverse effect of thrombolytic therapy.

Question 12

Which of the following drugs is the recommended antidote for heparin toxicity?

Accepted Answer

Protamine sulfate is the antidote for heparin.It reverses heparin's anticoagulant properties.

Question 13

Which of the following statements is true for the patient receiving long-term acetylsalicylic acid (Aspirin)therapy?

Accepted Answer

Aspirin can alter liver,renal,and clotting functions,and laboratory studies should be performed to monitor these functions.

Quiz 28: Coagulation Modifier Drugs

A patient is taking anticoagulant therapy.Which of the following natural health products should the patient avoid taking?

Which of the following is a true statement about dipyridamole (Persantine) ?

Which of the following laboratory studies is used to monitor the therapeutic effects of warfarin (Coumadin) ?

A male patient will be receiving streptokinase (SK) as part of the treatment for acute myocardial infarction.He asks why he is being prescribed this drug.Which of the following is the nurse's best explanation to the patient?

A patient has started on anticoagulant drugs.When the nurse is explaining the drug therapy,which of the following best describes the primary goal?

The nurse is administering heparin subcutaneously.Which of the following instructions is correct?

A female patient has been prescribed warfarin (Coumadin) in addition to a heparin infusion.What is the reason for her receiving two anticoagulants?

What is the recommended antidote for warfarin (Coumadin) toxicity?

A patient who is taking warfarin (Coumadin) therapy has a headache and wants to take a pain reliever.Which of the following actions is recommended?

Which of the following laboratory studies is used to monitor the therapeutic effects of heparin?

What is the most frequent undesirable adverse effect of thrombolytic therapy?

Which of the following drugs is the recommended antidote for heparin toxicity?

Which of the following statements is true for the patient receiving long-term acetylsalicylic acid (Aspirin) therapy?