The client was prescribed both heparin and warfarin sodium ...

[geodog55]

The client was prescribed both heparin and warfarin sodium (Coumadin). What is the rationale for using both these anticoagulants?
 
  a. It takes time before the action of oral anticoagulants is evident.
  b. Heparin is more effective when used with warfarin sodium.
  c. By administering an oral anticoagulant with heparin, the client needs less frequent administration of heparin.
  d. The client is less likely to experience adverse effects

Question 2

Alteplase is administered to a client following the diagnosis of acute myocardial infarction. The nurse realizes that for effectiveness the alteplase treatment begins within:
 
  a. 7-8 hours. c. 8-10 hours.
  b. 4-6 hours. d. 12-15 hours.

[sultansheikh]

Answer to Question 1

ANS: A

Feedback
A Correct: For rapid effects, heparin is needed because it takes time for oral hypocoagulants to produce results.
B Incorrect: This is a false statement.
C Incorrect: This is a false statement, as these two agents work on different time frames.
D Incorrect: This is a false statement.

Answer to Question 2

ANS: B

Feedback
A Incorrect: For the most benefit, alteplase should be administered within 4-6 hours.
B Correct: For the most benefit, alteplase should be administered within 4-6 hours.
C Incorrect: This will not provide the time frame for the most effectiveness of alteplase.
D Incorrect: This will not provide the time frame for the most effectiveness of alteplase.

[geodog55]

TY

[sultansheikh]

You're welcome