NSG 318 Exam 3 Study Questions and Correct Answers
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Course
NSG 318
Institution
NSG 318
If a patient takes nitroglycerin and experiences hypotension what is the nurses initial intervention? A. Call the provider B. Lay them supine with their feet elevated C. Elevated the head of the bed D. Administer the antidote b. Lay them supine with their feet elevated
What is the function of an a...
NSG 318 Exam 3 Study Questions and
Correct Answers
If a patient takes nitroglycerin and experiences hypotension what is the nurses initial
intervention?
A. Call the provider
B. Lay them supine with their feet elevated
C. Elevated the head of the bed
D. Administer the antidote ✅b. Lay them supine with their feet elevated
What is the function of an anticoagulant?
A.Prevent the formation of clots that inhibit the circulation
B. Prevent platelet aggregation
C. Clot Busters ✅a.Prevent the formation of clots that inhibit the circulation
What is the function of an Antiplatelet?
A.Prevent the formation of clots that inhibit the circulation
B. Prevent platelet aggregation
C. Clot Busters ✅b. Prevent platelet aggregation
What is the function of a Thrombolytic?
A.Prevent the formation of clots that inhibit the circulation
B. Prevent platelet aggregation
C. Clot Busters ✅c. Clot Busters
Which statement made by the nursing student needs correction?
A. Anticoagulants are used prophylactically to prevent new clots from forming
B. Used in clients with venous and arterial disorders: (DVT) & (PE)
C. Anticoagulants dissolve clots
D. They can be used for: Coronary thrombosis & Myocardial infarction ✅c.
Anticoagulants dissolve clots
They DO NOT dissolve clots
Which is an anticoagulant? SATA
A. Heparin
B. Warfarin
C. Clopidrogel
D. Alteplase
E. Atorvastatin ✅a. Heparin
B. Warfarin
Which route would be used to give heparin for an acute thrombosis?
A. Orally
,B. IV
C. Liquid suspension
D. Buccal ✅b. IV
What is the mode of action of heparin?
A. Inhibits thrombin, which prevents conversion of fibrinogen to fibrin
B. Depresses hepatic synthesis of vitamin K clotting factors
C. Inhibits platelet aggregation and prevent ADP (adenosine diphosphate) from binding
with the ADP platelet receptors
D. Clot buster ✅a. Inhibits thrombin, which prevents conversion of fibrinogen to fibrin
Would the nurse give a pt heparin if they had a bleeding disorder?
Yes or no ✅no it is a contraindication
Which drugs would increase the effects of heparin? SATA
A. Aspirin
B. Acetaminophen
C. NSAIDS
D. Antibiotics
E. SSRI
F. Lorazepam ✅a. Aspirin
C. NSAIDS
D. Antibiotics
E. SSRI
Which drugs would cause a decrease in heparin effects? SATA
A. Nitroglycerin
B. Protamine sulfate
C. NSAIDS
D. Antibiotics
E. SSRI ✅a. Nitroglycerin
B. Protamine sulfate (ANTIDOTE)
What is a common side effect of heparin?
A. Anaphylaxis
B. Injection site reaction
C. Increased bleeding
D. Anemia ✅b. Injection site reaction
What are some adverse effects heparin can cause? SATA
A. Bleeding
B. Anemia
C. Itching
D. Chills
E stroke
, F. Elevated hepatic enzymes ✅f. Elevated hepatic enzymes
A. Bleeding
B. Anemia
E stroke
What is a life threatening effect from heparin? SATA
A. Hemorrhage
B. Heparin-induced thrombocytopenia
C. Stroke
D. Bleding
E. Anemia ✅a. Hemorrhage
B. Heparin-induced thrombocytopenia
Which assessment should be done before a patient begins heparin?
A. Obtain history of abnormal clotting or health problems that affect clotting
B. Monitor INR and platelet counts
C. Observe for s/s of active bleeding. Antidote - aminocaproic acid
D. Monitor for bleeding - mouth, stool, urine and skin ✅a. Obtain history of abnormal
clotting or health problems that affect clotting
All others are interventions
Which nursing intervention will the nurse FIRST take BEFORE administering heparin?
A. Monitor PTT/aptt
B. Monitor platelet counts
C. Monitor for bleeding
D.Keep antidote available ✅a. Monitor PTT/aptt
Other interventions include those but are not done BEFORE admin
Make sure to monitor Vital Signs as well
What is the prototype drug for low Molecular-Weight Heparin?
A. Enoxaparin (Lovenox)
B. Warfarin
C. Clopidrogel
D. Alteplase ✅a. Enoxaparin (Lovenox)
If a pt is experienced an acute MI, which drug would the nurse anticipate the PCP to
administer for prophylaxis reasons?
A. Enoxaparin (Lovenox)
B. Warfarin
C. Heparin
D. Alteplase ✅a. Enoxaparin (Lovenox)
Used
What is the MOA for low Molecular-Weight Heparin?
A. Inhibits factor Xa by increasing inhibition rate of clotting activated by antithrombin III
B. Depresses hepatic synthesis of vitamin K clotting factors
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