A patient with atrial fibrillation is receiving warfarin ...

[jenna1]

A patient with atrial fibrillation is receiving warfarin Coumadin. The nurse notes that the patient's INR is 2.7 . Before giving the next dose of warfarin, the nurse will notify the provider and:
 
  a. administer the dose as ordered.
  b. request an order to decrease the dose.
  c. request an order to give vitamin K (phy-tonadione).
  d. request an order to increase the dose.

Question 2

A nurse educator is providing a continuing education class on pharmacology. To evaluate the learning of the nurses in the class, the nurse educator asks, Which of the following is (or are) a generic drug name?
 
  a. Acetaminophen
  b. Tylenol
  c. Cipro
  d. Motrin

[kardosa007]

Answer to Question 1

A
This patient has an INR in the appropriate range, which is 2 to 3 for most patients and 2.5 to 3.5 for some, so no change in warfarin dosing is necessary. It is not correct to request an order to ei-ther decrease or increase the dose of warfarin. It is not necessary to give vitamin K, which is an antidote for warfarin toxicity.

Answer to Question 2

A
Acetaminophen is the generic name.
Tylenol, Cipro, and Motrin are all trade names.

DIF: Cognitive Level: Comprehension REF: p. 20
TOP: Nursing Process: Evaluation
MSC: NCLEX Client Needs Category: Physiological Integrity: Pharmacological and Parenteral Therapies

[jenna1]

TYSM

[hramirez205]

Thanks for the timely response, appreciate it