Author Question: The nurse caring for a client receiving heparin (Heplock) monitors the patient for what serious ... (Read 53 times)

jjjetplane · **on:** Jul 24, 2018

The nurse caring for a client receiving heparin (Heplock) monitors the patient for what serious complication that occurs in up to 30 of patients taking the drug?

1. Tachycardia
2. Bradycardia
3. Angioedema
4. Heparin-induced thrombocytopenia (HIT)

Question 2

A client receiving warfarin (Coumadin) therapy has an INR of 5.6. Which medication would the nurse expect the physician to order to reverse the warfarin (Coumadin)?

1. Potassium
2. Vitamin K
3. Desirudin (Iprivask)
4. Protamine sulfate

Pswine · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

Correct Answer: 4

Rationale 1: Tachycardia is incorrect because heparin-induced thrombocytopenia (HIT) is a serious complication that occurs in up to 30 of patients taking the drug.
Rationale 2: Bradycardia is incorrect because heparin-induced thrombocytopenia (HIT) is a serious complication that occurs in up to 30 of patients taking the drug.
Rationale 3: Angioedema is incorrect because heparin-induced thrombocytopenia (HIT) is a serious complication that occurs in up to 30 of patients taking the drug.
Rationale 4: Heparin-induced thrombocytopenia (HIT) is a serious complication that occurs in up to 30 of patients taking the drug.

Global Rationale: Heparin-induced thrombocytopenia (HIT) is a serious complication that occurs in up to 30 of patients taking the drug. Tachycardia is incorrect because heparin-induced thrombocytopenia (HIT) is a serious complication that occurs in up to 30 of patients taking the drug. Bradycardia is incorrect because heparin-induced thrombocytopenia (HIT) is a serious complication that occurs in up to 30 of patients taking the drug. Angioedema is incorrect because heparin-induced thrombocytopenia (HIT) is a serious complication that occurs in up to 30 of patients taking the drug.

Answer to Question 2

Correct Answer: 2

Rationale 1: Potassium is incorrect because it does not reverse the effects of heparin.
Rationale 2: Vitamin K is used to reverse the effects of warfarin. Recommended post-treatment INR values range from 2 to 4.5.
Rationale 3: Desirudin (Iprivask) is incorrect because this medication is a newer antithrombin.
Rationale 4: Protamine sulfate is incorrect because it is used to reverse heparin.

Global Rationale: Vitamin K is used to reverse the effects of warfarin. Recommended post-treatment INR values range from 2 to 4.5. Potassium is incorrect because it does not reverse the effects of heparin. Desirudin (Iprivask) is incorrect because this medication is a newer antithrombin. Protamine sulfate is incorrect because it is used to reverse heparin.