This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient is being treated with warfarin Coumadin to prevent thrombus. The patient develops ... (Read 73 times)

Metfan725

  • Hero Member
  • *****
  • Posts: 552
on: Jul 23, 2018
A patient is being treated with warfarin Coumadin to prevent thrombus. The patient develops hyperuricemia, and the provider orders allopurinol Zyloprim. The nurse will contact the provider to discuss ____ the ____ dose.
 
  a. increasing; allopurinol
  b. increasing; warfarin
  c. reducing; allopurinol
  d. reducing; warfarin

Question 2

A nurse is caring for a child who has hemophilia. While reviewing this child's immunization records, the nurse notes that the child needs the tetanus and reduced diphtheria toxoids and acel-lular pertussis (Tdap) vaccine and the hepatitis A vaccine
 
  . The nurse should notify the provider and obtain an order to give: a. both vaccines intramuscularly.
  b. both vaccines subcutaneously.
  c. the hepatitis A vaccine only subcuta-neously.
  d. the Tdap vaccine only intramuscularly.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

C.mcnichol98

  • Sr. Member
  • ****
  • Posts: 314
Reply #1 on: Jul 23, 2018
Answer to Question 1

D
Allopurinol can inhibit hepatic drug-metabolizing enzymes and thus delay the inactivation of other drugs. This is a particular concern in patients taking warfarin; therefore, the warfarin dose should be reduced when allopurinol is also used. It is not correct to increase the allopurinol dose, increase the warfarin dose, or reduce the allopurinol dose.

Answer to Question 2

A
To minimize the risk of hepatitis, all patients with hemophilia should be fully vaccinated, and all newly diagnosed patients should receive both the hepatitis A and hepatitis B vaccines to minim-ize the risk of hepatitis from infusions. Clinicians should inject vaccines intramuscularly, taking precautions to prevent excessive bleeding, because subcutaneous administration does not guar-antee efficacy. There is no reason to withhold any vaccine in children with hemophilia.


Metfan725

  • Hero Member
  • *****
  • Posts: 552
Reply #2 on: Jul 23, 2018
Thank you!


C.mcnichol98

  • Sr. Member
  • ****
  • Posts: 314
Reply #3 on: Jul 23, 2018
Always glad to help...


« previous next »
 

Did you know?

Chronic necrotizing aspergillosis has a slowly progressive process that, unlike invasive aspergillosis, does not spread to other organ systems or the blood vessels. It most often affects middle-aged and elderly individuals, spreading to surrounding tissue in the lungs. The disease often does not respond to conventionally successful treatments, and requires individualized therapies in order to keep it from becoming life-threatening.

Did you know?

In women, pharmacodynamic differences include increased sensitivity to (and increased effectiveness of) beta-blockers, opioids, selective serotonin reuptake inhibitors, and typical antipsychotics.

Did you know?

As many as 28% of hospitalized patients requiring mechanical ventilators to help them breathe (for more than 48 hours) will develop ventilator-associated pneumonia. Current therapy involves intravenous antibiotics, but new antibiotics that can be inhaled (and more directly treat the infection) are being developed.

Did you know?

Street names for barbiturates include reds, red devils, yellow jackets, blue heavens, Christmas trees, and rainbows. They are commonly referred to as downers.

Did you know?

Although not all of the following muscle groups are commonly used, intramuscular injections may be given into the abdominals, biceps, calves, deltoids, gluteals, laterals, pectorals, quadriceps, trapezoids, and triceps.

The effectiveness of patient education The effectiveness of patient education
The mask covers both the mouth and nose to prevent exposure to body fluids and airborne droplets. The mask covers both the mouth and nose to prevent exposure to body fluids and airborne droplets.
Patient Teaching Methods Cont. Patient Teaching Methods Cont.
ROM exercises on a patient’s wrist: extension. ROM exercises on a patient’s wrist: extension.
Severe periodontitis in a patient with uncontrolled diabetes. Severe periodontitis in a patient with uncontrolled diabetes.
Can gene therapy be used to cure patients with HIV infections or to prevent HIV infections? Can gene therapy be used to cure patients with HIV infections or to prevent HIV infections?
Video: Bulk flow - Factors that influence bulk flow

For a complete list of videos, visit our video library