Question 1

A client receiving clopidogrel (Plavix) has the following conditions as part of the health history. Which causes the greatest concern to the nurse?

Accepted Answer

An active peptic ulcer may bleed subsequent to use of this medication.

Question 2

The client is being treated with warfarin sodium. She complains to the nurse of soreness in her mouth. The highest priority nursing intervention is to call the physician because the client is _____ the medication.

Accepted Answer

Mouth soreness would be indicative of stomatitis, an adverse reaction to the medication.

Question 3

A new nurse is listing the interventions he should employ when caring for a client on thrombolytic therapy. Which nursing intervention is inappropriate for the client during thrombolytic therapy?

Accepted Answer

Aspirin or NSAIDs would increase the bleeding time further. ECGs may be done to assess for changes to the myocardial muscle.

Question 4

A client is to receive a heparin injection. The highest priority nursing intervention before administration of the medication is to check the:

Accepted Answer

PTT and APTT are the blood tests that assess bleeding times.

Question 5

The client has received an overdose of a thrombolytic drug. The nurse anticipates that he will be treated with:

Accepted Answer

Aminocaproic acid (Amicar) is the drug to have on hand in the event of hemorrhage as a result of thrombolytic drugs.

Question 6

A client is being treated with warfarin (Coumadin). The highest priority nursing intervention before administration of the medication is to check the:

Accepted Answer

PT and INR are the tests monitored with warfarin.

Question 7

In planning care for a client receiving heparin, the nurse is aware that the dose is administered subcutaneously. What is the reason for using this route?

Accepted Answer

Subcutaneous administration of heparin prevents poor absorption and eliminates destruction of heparin by the liver.

Question 8

The client is being treated with warfarin sodium as well as a diuretic. The nurse anticipates that the interaction of the two drugs will produce a(n) _____ effect from the _____.

Accepted Answer

The interaction of warfarin sodium and a diuretic will produce an increased effect from the warfarin sodium.

Question 9

A client receiving warfarin (Coumadin) is noted to have significant bleeding from the gums while on therapy. The physician orders an antidote. If excess bleeding occurs because of warfarin accumulation in the body, what is the antidote?

Accepted Answer

Vitamin K is the antidote for warfarin.

Question 10

The client is being treated with Plavix. He complains to the nurse of experiencing chest pain. The highest priority nursing intervention is to call the physician because the client is experiencing a(n):

Accepted Answer

Chest pain is an expected side effect of treatment with Plavix.

Question 11

Which statement made by a client receiving (warfarin) Coumadin therapy indicates a need for further teaching?

Accepted Answer

Vitamin K is an antagonist against warfarin, and green leafy vegetables are known sources of vitamin K.

Question 12

The client has been ordered treatment with warfarin. She tells the nurse that she self-medicates with herbal remedies as much as possible. The highest priority teaching point that the nurse should give the client is the avoid the use of _____ while taking warfarin.

Accepted Answer

Garlic and ginkgo interfere with the formation of platelet aggregations.

Question 13

The client is being treated with heparin and also with nitroglycerin. The nurse anticipates that the interaction of the two drugs will produce which effect?

Accepted Answer

The interaction of heparin with nitroglycerin will most likely produce a decreased effect from the heparin.

Question 14

The client who is most likely to be ordered low-molecular-weight heparin would be the client who is considered to be at high risk to develop:

Accepted Answer

These heparin-like medications prevent clot formation.

Quiz 45: Anticoagulants, Antiplatelets, and Thrombolytics