Chapter 26 Lilley Actual Real Practice Exam Questions And Answers.
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Course
LILLEYS
Institution
LILLEYS
The nurse is monitoring a patient who is receiving antithrom-bolytic therapy in the emergency department because of a possible MI. Which adverse effect would be of the greatest concern at this time? a. Dizziness
b. Blood pressure of 130/98 mm Hg
c. Slight bloody oozing from the IV insertion sit...
The nurse is monitoring a patient who is receiving antithrom-bolytic therapy in the emergency
department because of a possible MI. Which adverse effect would be of the greatest concern at this
time? a. Dizziness
b. Blood pressure of 130/98 mm Hg
c. Slight bloody oozing from the IV insertion site
d. Irregular heart rhythm - correct answer d. Irregular heart rhythm
A patient is receiving instructions regarding warfarin therapy and asks the nurse about what medications
she can take for headaches. The nurse will tell her to avoid which type of medication? Select all that
apply.
a. aspirin
b. acetaminophen
c. NSAIDs
d. The herbal product gingko
e. Caffeine - correct answer a. aspirin
c. NSAIDs
d. The herbal product gingko
The nurse is teaching a patient about the self-administration of enoxaparin (Lovenox). Which statement
will be included in this teaching session?
a. "We will need to teach a family member how to give this drug in your arm."
b. "This drug is given in the folds of your abdomen, but at least 2 inches away from your navel."
c. "This drug needs to be taken at the same time every day with a full glass of water."
d. "Be sure to massage the injection site thoroughly after administering the drug." - correct answer
b. "This drug is given in the folds of your abdomen, but at least 2 inches away from your navel."
A patient is receiving dabigatran (Pradaxa) 150 mg twice daily as part of treatment for atrial fibrillation.
Which condition, if present, would be a concern if the patient were to receive this dose?
, a. Asthma
b. Elevated liver enzymes
c. Renal impairment
d. History of myocardial infarction - correct answer c. Renal impairment
A patient received a double dose of heparin during surgery and is bleeding through the incision site.
While the surgeons are working to stop the bleeding at the incision site, the nurse will prepare to take
what action?
a. Give IV vitamin K as an antidote.
b. Give IV protamine sulfate as an antidote.
c. Call the blood bank for an immediate platelet transfusion.
d. Obtain an order for packed red blood cells. - correct answer b. Give IV protamine
sulfate as an antidote.
A patient is starting warfarin (Coumadin) therapy as part of treatment for atrial fibrillation. The nurse
will follow which
principles of warfarin therapy? (Select all that apply.)
a. Teach proper subcutaneous administration.
b. Administer the oral dose at the same time every day.
c. Assess carefully for excessive bruising or unusual bleeding.
d. Monitor laboratory results for a target INR of 2 to 3.
e. Monitor laboratory results for a therapeutic aPTT value of 1.5 to 2.5 times the control value. - correct
answer b. Administer the oral dose at the same time every day.
c. Assess carefully for excessive bruising or unusual bleeding.
d. Monitor laboratory results for a target INR of 2 to 3.
The nurse is assessing a patient who has a new prescription for vorapaxar (Zontivity). Which of these
conditions are considered contraindications to the use of vorapaxar? (Select all that apply.)
a. Impaired renal function
b. Impaired liver function
c. History of myocardial infarction
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