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Pharm 2
Oral Anticoagulant Therapy
| Question | Answer |
|---|---|
| A patient who recently started taking warfarin asks the nurse why laboratory work needs to be obtained every 3 to 4 days. Which response would the nurse provide? | “To ensure adequate dosing of warfarin, the INR needs to be checked every 3 to 4 days.” |
| A patient who has been taking warfarin for chronic atrial fibrillation was advised by a friend to consume a low-protein diet. Which change in warfarin dosage would the nurse anticipate? | Decrease |
| A patient with a mechanical heart valve has been taking warfarin. The patient tells the nurse that vegetables and fruits have been added to the diet. Which effect will most likely occur with the increase in fruit and vegetable intake? | INR will decrease. |
| Heparin and warfarin are started simultaneously in a patient who is diagnosed with a deep vein thrombosis. The nurse would anticipate that the heparin will most likely be discontinued at which time? | 3 days after being on Warfain. |
| The nurse is preparing to administer dabigatran. Dabigatran would be most appropriate for a patient with which medical condition? | Hepatic dysfunction |
| The nurse is preparing warfarin for several patients. For which patient would the nurse be most concerned in administering warfarin? | An alcoholic patient with liver disease |
| While obtaining a medical history, the nurse finds that the patient taking warfarin eats a spinach salad for lunch every day. Which teaching point would the nurse provide for this patient? | "The salad may decrease warfarin's effectiveness." |
| The patient continues to bleed after receiving vitamin K for warfarin toxicity. The nurse anticipates administering which product to a patient who is not responding to vitamin K? | Fresh frozen Plasma |
| A patient is admitted for bleeding caused by an overdose of dabigatran. Which drug will the nurse anticipate administering? | Idarucizumab |
| A patient taking dabigatran complains of dyspepsia. Which instruction would the nurse provide to the patient? | "Take the drug with food." |
| Warfarin is appropriate for patients with which conditions? | -Deep vein thrombus -Mechanical heart valve -Pulmonary embolus -Thromboembolic stroke |
| Which phrases describe reported benefits of prescribing novel oral anticoagulants (NOACs) instead of warfarin? | -Frequent laboratory monitoring is not required for NOACs. -Genetics do not alter the effectiveness of NOACs. -Comorbid conditions do not affect the effectiveness of NOACs. -Diet does not affect the effectiveness of NOACs. |
| Which discharge teaching is appropriate to give a patient who has been prescribed warfarin? | -"Obtain emergency care if you do not stop bleeding within 5 to 10 minutes." -"Check with your health care provider before taking any new medications, including over-the-counter medications and herbals." |
| -- | -"Notify your health care provider if you will be using tobacco products." |
Created by:
Lightnning54
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