The nurse is aware that the drug that will most likely be used in ...

[washai]

The nurse is aware that the drug that will most likely be used in the treatment of warfarin sodium overdose is
 
  1. aspirin.
  2. heparin.
  3. vitamin K.
  4. protamine sulfate.

Question 2

A clinic nurse is developing a teaching handout for patients who are prescribed warfarin (Coumadin) therapy. Which statement should be included in this information?
 
  1. Tell your dentist you are taking warfarin prior to any procedures.
  2. Report to the lab for testing of activated partial thromboplastin time (APTT).
  3. Avoid strenuous activities.
  4. Place ice at the injection site if stinging or burning occurs.
  5. Take nonsteroidal anti-inflammatories (NSAIDs) for minor pain relief.

[milbourne11]

Answer to Question 1

Correct Answer: 3
Rationale 1: Aspirin is an antiplatelet, and would lead to more bleeding.
Rationale 2: Heparin would not be used; it is another drug in the class.
Rationale 3: Vitamin K is the drug for overdose; it helps to clot the blood.
Rationale 4: Protamine sulfate is the antidote for heparin overdose.

Answer to Question 2

Correct Answer: 1,3
Rationale 1: Warfarin increases the risk of bleeding from dental procedures.
Rationale 2: APTT is not used to monitor warfarin.
Rationale 3: Strenuous or risky activities place the patient at risk for injury and bleeding.
Rationale 4: Warfarin is not administered by injection.
Rationale 5: NSAIDs can cause bleeding if taken concurrently with warfarin.

[washai]

TYSM

[dantucker]

Excellent