The nurse caring for a client receiving heparin (Heplock) ...

[jjjetplane]

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]

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.

[jjjetplane]

Excellent

[Dinolord]

Gracias!