Author Question: A patient with a vein thromboembolism is to be started on oral warfarin (Coumadin) while still ... (Read 68 times)

evelyn o bentley

  • Hero Member
  • *****
  • Posts: 564
A patient with a vein thromboembolism is to be started on oral warfarin (Coumadin) while still receiving intravenous heparin. What is the nurse's best action?
 
  a. Administer the drugs as prescribed.
  b. Remind the prescriber that two anticoagulants should not be administered con-currently.
  c. Hold the dose of warfarin until the patient's activated partial thromboplastin time is the same as the control value.
  d. Monitor the patient for clinical manifestations of internal or external bleeding at least every 2 hours.

Question 2

A 78-year-old man has been taking diphenhydramine (Benadryl) for seasonal allergies. Which new symptom would the nurse report to the prescriber?
 
  a. Decreased urination
  b. Drowsiness
  c. Dry mouth
  d. Cough



bassamabas

  • Sr. Member
  • ****
  • Posts: 294
Answer to Question 1

A
Although both heparin and warfarin are anticoagulants, they have different mechanisms of action and onsets of action. Because warfarin has such a slow onset, it must be started while the patient is still receiving heparin.

Answer to Question 2

A
Diphenhydramine is an antihistamine with anticholinergic actions that include dry mouth, drowsiness, and urinary retention. An enlarged prostate is common among older men and causes difficulty urinating. This problem can be made much worse when taking a drug that can cause urinary retention.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

On average, the stomach produces 2 L of hydrochloric acid per day.

Did you know?

Hippocrates noted that blood separates into four differently colored liquids when removed from the body and examined: a pure red liquid mixed with white liquid material with a yellow-colored froth at the top and a black substance that settles underneath; he named these the four humors (for blood, phlegm, yellow bile, and black bile).

Did you know?

The eye muscles are the most active muscles in the whole body. The external muscles that move the eyes are the strongest muscles in the human body for the job they have to do. They are 100 times more powerful than they need to be.

Did you know?

The first oncogene was discovered in 1970 and was termed SRC (pronounced "SARK").

Did you know?

The first documented use of surgical anesthesia in the United States was in Connecticut in 1844.

For a complete list of videos, visit our video library