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Perfusion Clotting EAQ Quiz Elsevier 2024 CA$11.87
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Perfusion Clotting EAQ Quiz Elsevier 2024

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Perfusion Clotting EAQ Quiz Elsevier 2024

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  • July 22, 2024
  • 6
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
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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 give‬
T
‭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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