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.”

b. “You will need both warfarin and heparin for several days.”

c. “Warfarin takes 3 to 5 days to develop anticoagulant effects, and you still need heparin.”

d. “Warfarin cannot be given without heparin due to the amount of clotting you need.”

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

Answer 1

Answer: (C) Warfarin takes 3-5 days to develop anticoagulant effects, and you still need heparin.”

( The nurse gave patient heparin because warfarin takes atleast 3 days to show its actions)

Answer:(C) PT and INR

( This blood shows the anticoagulant activity of the drug)

Answer: ( D) Increased thirst

(The side effects of the atorvastatin includes the increase in the thirst and this should be monitored by the nurse.)

Answer: (B) Liver panel