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Medsurg
Sherpath quizzes
| Question | Answer |
|---|---|
| Which purpose do anticoagulants serve? | Prevent clot formation |
| In which way do anticoagulants work? | Alter clotting cascade |
| Which complication can occur when anticoagulant mismanagement causes thrombi to dislodge? | Stroke |
| Which outcome results from anticoagulant use? | Prolonged clotting time |
| Which route is used to administer low molecular weight heparin(lmhw) | Subcutaneously |
| Which diagnostic test would be used to monitor the effectiveness of low molecular weight heparins? | Anti-factor Xa(anti-xa) |
| Which anticoagulant requires laboratory monitoring? | Warfarin |
| Which time frame describes the onset of action for protamine sulfate? | 1minute |
| Which laboratory test monitors blood clotting? | Platelet count |
| A patient reports to the nurse that they inadvertently injected three times the amount of heparin subcutaneously. Which medication would the health care providers (HCP) prescribe to reverse the drugs effects? | Protamine |
| Which condition is treated with anticoagulants? | Arrhythmias,prolonged immobility, pulmonary embolism, deep vein thrombosis |
| The nurse is preparing to give a dose of heparin 5000 units subcutaneously to a patient. In which location will the nurse administer the drug? | Abdomen |
| Which information would the nurse include when teaching a patient how to self-administer heparin injections after discharge? | Rotate injections sites, administer at 90 degree angle, inject dose 2 inches from umbilicus |
| Which laboratory test is used to monitor the effectiveness of unfractionated heparin? | Activated clotting time, activated partial thromboplastin time. (aPTT) |
| Which laboratory test measures the blood’s ability to clot? | Prothrombin time, international normalized ratio, activated partial thromboplastin time(aPTT) |
| The healthcare provider prescribes warfarin for a patient with a pulmonary embolism. At which time would the nurse anticipate obtaining the first international normalized ratio. (INR) | 72 hours. |
| A patient reports to the nurse they take 7.5 milligrams of warfarin(Coumadin) once a day. Which color tablet would the nurse instruct the patient to take? | One yellow tablet |
| Which effect occurs after phytonadione is administered? | Decreased international normalized ration (inr) |
| Which setup using ratio and proportion would the nurse use to determine the dose of heparin to be administered to patient per hour? | Dose:volume:x units: hour |
| The healthcare provider prescribed a patient to receive a loading dose of heparin of 70 units/kg and then to infuse at 20 units /kg/hr. Which step would the nurse perform first to calculate the infusion rate in ml/hr with the patient weighing 125 lbs | Convert pounds to kilograms |
| Which part of the heparin order below requires clarification from the prescriber? Order: heparin 5000 units intramuscularly every 8 hours? | Route |
| Which information does the nurse require to determine the rate of a heparin infusion | Ordered dose, available dose, volume of solution |
| The nurse notes a patients activated partial thrombi plastic time is 72. The patient is receiving intravenous heparin at 1s units/kg/hr. Based on protocol, which action would the nursetake. | Hold for 30 minutes and decrease by 2 units/ kg/hr |
| The health care provider has prescribed intravenous heparin to infuse at 22 units/kg/hr. Which chinformation would the nurse need before starting the infusion | Weight, platelet count, activated partial thromboplastin time ( aptt) |
| Which laboratory test is used to monitor the effectiveness of unfractioned heparin? | Activated clotting time, activated thromboplastin time (aptt) |
| Which setup using ratio and proportion walla the nurse use to determine the dose of heparin to be administered to a patient per hour? | Dose:volume:x units:hour |
| Which information does the nurse require to determine the rate of a heparin |
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