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Pharm 2
Parenteral Anticoagulant Therapy
| Question | Answer |
|---|---|
| A nurse is preparing to administer heparin intravenously (IV) to a patient who was admitted with an acute pulmonary embolus. Which response by the nurse is appropriate when the patient asks why the drug is given IV rather than orally? | Heparin is poorly absorbed by the gastrointestinal (GI) tract. |
| A patient was started on intravenous (IV) heparin at 1200 pm. When will the nurse assess the activated thromboplastin time (aPTT)? | 1800 |
| For which patient would the nurse anticipate administering heparin? | Patient diagnosed with atrial fibrillation |
| The nurse is preparing to administer heparin intravenously (IV). Which response by the nurse would be appropriate when the patient asks when the medication will start working? | “Heparin will start working in about 5 to 10 minutes.” |
| The nurse is preparing to administer unfractionated heparin to three patients. Which patient would the nurse be most concerned about when administering heparin? | Patient with activated thromboplastin time (aPTT) value of 98 seconds |
| A patient who was started on continuous intravenous heparin for a pulmonary embolus complains of “a lot of bruises” and “pink urine.” Laboratory values show that platelets have decreased from 225,000 mm3 to 75,000 mm3. | -- |
| Which condition would the nurse most likely consider with these signs and symptoms? | Heparin-induced thrombocytopenia (HIT) from heparin |
| A nurse is preparing to administer enoxaparin, a heparin derivative. Which action by the nurse demonstrates the correct technique for administering the medication? | Administer the drug at least 2 inches from the umbilicus. |
| A patient has been receiving subcutaneous heparin every 12 hours. The patient is scheduled to have a lumbar puncture at 0900. Which action is the nurse’s priority? | Notify the health care provider the patient is receiving heparin. |
| Which teaching is appropriate for a patient being discharged with a prescription for subcutaneous heparin? | Shave with an electric razor. |
| A patient on subcutaneous anticoagulant calls the clinic about a cut received on the hand. Which initial action would the nurse tell the patient to take? | Apply direct pressure to the cut for 5 to 10 minutes. |
| For which reasons would the nurse monitor older adults taking heparin more closely for bleeding? | -Capillary walls are more fragile. -Skin is thinner |
Created by:
Lightnning54
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