Exam (elaborations)
Perfusion Clotting EAQ Quiz Elsevier 2024
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Perfusion Clotting EAQ Quiz Elsevier 2024
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he parent of a child with hemophilia asks the nurse, "If my son hurts himself, is it all right if I giveT
him 2 baby aspirins?" What is the best response by the nurse? - CORRECT ANSWER-"Aspirin
may cause more bleeding. Give him acetaminophen instead."
A+
spirin, which has an anticoagulant effect, is contraindicated because it may harm a child with
A
bleeding problems; in addition, aspirin is contraindicated for all children because of its relationship
to Reye syndrome. Stating that the parent seems concerned about giving drugs to the child does
not answer the mother's question and may cause the mother to feel defensive. Acetaminophen
cannot prevent bleeding episodes; it is an analgesic.
client is taking administering warfarin (Coumadin). The nurse recalls that the antidote for this
A
medication is: - CORRECT ANSWER-Vitamin K
arfarin sodium inhibits vitamin K; therefore, vitamin K is the antidote for warfarin sodium.
W
Fibrinogen and prothrombin are blood-clotting factors, not the antidotes for warfarin sodium.
Protamine sulfate is the antidote for heparin, not warfarin sodium.
client with chronic liver disease reports, "My gums have been bleeding spontaneously." The
A
nurse identifies small hemorrhagic lesions on the client's face. The nurse concludes that the client
needs additional: - CORRECT ANSWER-Vitamin K
at-soluble vitamin K is essential for synthesis of prothrombin by the liver; a lack results in
F
hypoprothrombinemia, inadequate coagulation, and hemorrhage. Although cirrhosis may interfere
with production of bile, which contains the bilirubin needed for optimum absorption of vitamin K,
the best and quickest manner to counteract the bleeding is to provide vitamin K intramuscularly.
Folic acid is a coenzyme with vitamins B12 and C in the formation of nucleic acids and heme;
thus, a deficiency may lead to anemia, not bleeding. Vitamin A deficiency contributes to
development of polyneuritis and beriberi, not hemorrhage.
hen obtaining an admission history of a preoperative client, the nurse learns that the client is
W
taking several herbal supplements. What is the priority nursing action? - CORRECT
ANSWER-Notify the health care provider because some herbs can cause hemorrhage.
, he patient is preoperative, so notifying the health care provider is a priority because some herbs
T
can cause hemorrhage and the health care provider may need to postpone the surgery until the
client has been free of herbal supplements for a period of time. Although some herbs are
dangerous, others have proved beneficial. Although the client may be interested in the usefulness
of the herbal therapies being taken, this is not the appropriate time for this teaching.
A+
TUDY TIP: Record the information you find to be most difficult to remember on 3" × 5" cards and
S
carry them with you in your pocket or purse. When you are waiting in traffic or for an appointment,
just pull out the cards and review again. This "found" time may add points to your test scores that
you have lost in the past.
client who had a femoropopliteal bypass graft is receiving clopidogrel (Plavix) postoperatively.
A
What should the nurse teach the client related to the medication? - CORRECT ANSWER-Report
multiple bruises on the extremities.
lopidogrel is a platelet aggregation inhibitor that decreases the probability of clots forming where
C
the graft was placed, but it also increases bleeding tendencies when the dosage is excessive.
Clopidogrel does not interact with oranges and it is permitted on the diet. Diarrhea, not
constipation, is more likely to occur with clopidogrel. Clopidogrel should be taken with food to
decrease the side effects of gastric discomfort, diarrhea, and gastrointestinal bleeding.
client is admitted to the emergency department with crushing chest pain. A diagnosis of acute
A
coronary syndrome is suspected. The nurse expects that the client's initial treatment will include
which medication? - CORRECT ANSWER-Aspirin (ASA)
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