This topic contains a solution. Click here to go to the answer

Author Question: A patient who is taking clopidogrel (Plavix) calls the nurse to report black, tarry stools and ... (Read 139 times)

formula1

  • Hero Member
  • *****
  • Posts: 666
A patient who is taking clopidogrel (Plavix) calls the nurse to report black, tarry stools and coffee-ground emesis. The nurse will tell the patient to:
 
  a. ask the provider about using aspirin instead of clopidogrel.
  b. consume a diet high in vitamin K.
  c. continue taking the clopidogrel until talking to the provider.
  d. stop taking the clopidogrel immediately.

Question 2

A patient who takes warfarin (Coumadin) is brought to the emergency department after accidentally taking too much warfarin.
 
  The patient's heart rate is 78 beats per minute and the blood pressure is 120/80 mm Hg. A dipstick urinalysis is normal. The patient does not have any obvious hematoma or petechiae and does not complain of pain. The nurse will anticipate an order for:
  a. vitamin K (phytonadione).
  b. protamine sulfate.
  c. a PTT.
  d. a PT and an INR.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

mammy1697

  • Sr. Member
  • ****
  • Posts: 341
Answer to Question 1

ANS: C
Patients who experience bleeding should be warned not to stop taking the clopidogrel until the prescriber says they should, since abrupt withdrawal may precipitate a thrombotic event. Taking aspirin with an active GI bleed is contraindicated. Warfarin is a vitamin K inhibitor; consuming extra vitamin K will not reverse the effects of clopidogrel.

Answer to Question 2

ANS: D
This patient does not exhibit any signs of bleeding from a warfarin overdose. The vital signs are stable, there are no hematomas or petechiae, and the patient does not have pain. A PT and INR should be drawn to evaluate the anticoagulant effects. Vitamin K may be given if laboratory values indicate overdose. Protamine sulfate is given for heparin overdose. PTT evaluation is used to monitor heparin therapy.




formula1

  • Member
  • Posts: 666
Reply 2 on: Jul 23, 2018
Excellent


bbburns21

  • Member
  • Posts: 336
Reply 3 on: Yesterday
Wow, this really help

 

Did you know?

One way to reduce acid reflux is to lose two or three pounds. Most people lose weight in the belly area first when they increase exercise, meaning that heartburn can be reduced quickly by this method.

Did you know?

Malaria mortality rates are falling. Increased malaria prevention and control measures have greatly improved these rates. Since 2000, malaria mortality rates have fallen globally by 60% among all age groups, and by 65% among children under age 5.

Did you know?

Congestive heart failure is a serious disorder that carries a reduced life expectancy. Heart failure is usually a chronic illness, and it may worsen with infection or other physical stressors.

Did you know?

To combat osteoporosis, changes in lifestyle and diet are recommended. At-risk patients should include 1,200 to 1,500 mg of calcium daily either via dietary means or with supplements.

Did you know?

Famous people who died from poisoning or drug overdose include, Adolf Hitler, Socrates, Juan Ponce de Leon, Marilyn Monroe, Judy Garland, and John Belushi.

For a complete list of videos, visit our video library