Author Question: A patient with a history of atrial fibrillation has been brought to the emergency department (ED) by ... (Read 32 times)

newyorker26 · **on:** Jul 23, 2018

A patient with a history of atrial fibrillation has been brought to the emergency department (ED) by his wife after inadvertently taking 22 mg of warfarin rather than 2 mg, which is the patient's prescribed daily dose.

The ED nurse should anticipate the administration of A) vitamin K.
B) vitamin B12.
C) vitamin A.
D) vitamin B1.

Question 2

A teenage boy has been brought to the emergency department (ED) by his football coach, who states that the boy has not responded to his normal rescue inhaler. The care team has opted for the administration of subcutaneous epinephrine.

The ED nurse should anticipate what assessment finding subsequent to the administration of this drug? A) Increased level of consciousness within 2 to 5 minutes
B) Immediate bronchodilation
C) An immediate decrease in respiratory rate
D) Bronchodilation within 5 to 10 minutes

Zebsrer · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

A
Feedback:
Vitamin K is used to reverse the effects of warfarin (Coumadin).

Answer to Question 2

D
Feedback:
For acute asthma attacks, subcutaneous (Sub-Q) administration of epinephrine usually produces bronchodilation within 5 to 10 minutes; maximal effects may occur within 20 minutes. An increase in LOC is not a priority, and respiratory rate would not likely decrease.