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 141 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
Wow, this really help


AngeliqueG

  • Member
  • Posts: 343
Reply 3 on: Yesterday
Excellent

 

Did you know?

More than 50% of American adults have oral herpes, which is commonly known as "cold sores" or "fever blisters." The herpes virus can be active on the skin surface without showing any signs or causing any symptoms.

Did you know?

The shortest mature adult human of whom there is independent evidence was Gul Mohammed in India. In 1990, he was measured in New Delhi and stood 22.5 inches tall.

Did you know?

The modern decimal position system was the invention of the Hindus (around 800 AD), involving the placing of numerals to indicate their value (units, tens, hundreds, and so on).

Did you know?

The toxic levels for lithium carbonate are close to the therapeutic levels. Signs of toxicity include fine hand tremor, polyuria, mild thirst, nausea, general discomfort, diarrhea, vomiting, drowsiness, muscular weakness, lack of coordination, ataxia, giddiness, tinnitus, and blurred vision.

Did you know?

There are more bacteria in your mouth than there are people in the world.

For a complete list of videos, visit our video library