Question

23. A client is being administered heparin IV and has been started on warfarin. The client asks the nurse why she is taking both medications. What is the nurse's most accurate response? a. "After a certain period of time, you must start warfarin and heparin together. days." effects, and you still need heparin. amount of clotting you need." b. "You will need both warfarin and heparin for several c."Warfarin takes 3 to 5 days to develop anticoagulant d."Warfarin cannot be given without heparin due to the 24. A client is taking warfarin to prevent clot formation related to atrial fibrillation. How are the effects of the warfarin monitored? a. RBC b.aPTT c. PT and INR d. Platelet count 25. A client will begin taking atorvastatin, and the nurse is conducting relevant health education. The nurse should emphasize the need to report any new onset of a. Muscle pain. b. Dry mouth c. Pruritus (itching). d. Increased thirst. 26. An elderly client with dyslipidemia has had fenofibrate added to the existing medication regimen. In addition to having the lipid profile drawn on a regular basis, the nurse should educate the client about the need for what ongoing laboratory testing during therapy? a. Complete blood count (CBC) b. Liver panel c. INR and aPTT d. Reticulocyte count 27. A client is exposed to a viral infection. What role will interferon most likely play during this exposure? a. It will stimulate B-lymphocyte activity. b. It will interfere with stem cell multiplication c. It will stimulate growth of lymphoid cells d. It will interfere with virus replication. 28. A client is being administered chemotherapeutic agents for the treatment of cancer. Which blood cells will be stimulated by the colony-stimulating factors in response to the effects of the chemotherapy? a. White blood cells b. Red blood cells c. Phagocytes d. Myocardial cells 29. A elient is receiving epoetin alfa for anemia. Which adjunctive therapy is imperative with epoetin alfa? a. Potassium supplements b. Sodium restriction c. Iron supplement d. Renal dialysis

Answer 1

23. The correct option is C. Warfarin takes 3-5 days to develop anticoagulant effect ,and still you need heparin. Because it may take several days before warfarin becomes completely effective, heparin or LMWH is given until the warfarin is working.

24. The correct option is C. The effects of warfarin is monitored by PT and INR .

25. The correct option is A. The nurse should emphasize the need to report any new onset of muscle pain or myopathy .

26. The correct option is B. Liver panel should be assessed during the fenofibrate therapy . Fenofibrate therapy is associated with mild and transient serum aminotransferase elevations and with rare instances of acute liver injury, which can be severe and prolonged and lead to significant hepatic fibrosis.