A client is receiving heparin sodium 5000 units IV and oral warfarin sodium 2.5 mg PO for thrombophlebitis in the left leg. The nurse educated the client that heparin and warfarin are both used because:

the heparin provides anticoagulation until the warfarin becomes effective.

this combination facilitates the dissolving of the clot.

smaller doses of both drugs can be used with this method of administration.

this combination provides immediate maximum protection against clot formation.

Answer and Explanation

The Correct Answer is A

A.   Heparin acts quickly to provide immediate anticoagulation, while warfarin takes several days to reach therapeutic levels. Heparin ensures that the client is adequately anticoagulated during the initial phase while waiting for warfarin to take effect.
B.   Neither heparin nor warfarin directly dissolves clots. They are both anticoagulants that prevent further clot formation and allow the body's natural processes (fibrinolysis) to break down the existing clot over time. The combination does not specifically facilitate the dissolution of clots.
C.   This statement is misleading. The use of both medications is not primarily about reducing the doses. Instead, each medication has its own dosing based on the patient’s needs, and the combination is used for timing and efficacy rather than dose reduction.
D.   While heparin does provide immediate anticoagulation, saying it provides "maximum protection" could be misleading. It does ensure effective anticoagulation in the short term, but the maximum effect is related to individual response and therapeutic levels, which vary. Additionally, once warfarin reaches therapeutic levels, it becomes the primary agent for long-term anticoagulation.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["A","B"]

Explanation

A. Limited access to fresh fruits and vegetables can contribute to poor dietary habits, which are linked to obesity and diabetes. Communities with food deserts often have higher rates of diabetes due to reduced access to nutritious food, leading to diets high in processed and unhealthy foods.
B. Living in disadvantaged communities is associated with increased diabetes prevalence and complications. Factors such as lower socioeconomic status, limited access to healthcare, poor health education, and environmental stressors can exacerbate health issues, including diabetes.
C. Having adequate health insurance is generally correlated with better health outcomes, including access to preventive care, regular monitoring, and treatment for diabetes. It does not contribute to increased prevalence or complications; rather, it mitigates them.

D. While certain viral infections have been studied for their potential role in triggering autoimmune diabetes (such as Type 1 diabetes), viral infections themselves are not a social inequity and do not directly correlate with increased diabetes prevalence in the same way that socioeconomic factors do.
E. Autoimmune disorders can be associated with Type 1 diabetes and some cases of Type 2 diabetes; however, this option does not reflect a social inequity. Instead, autoimmune disorders are more related to individual health conditions and genetics.

A. importance of exercise. B. administration of insulin. C. the diabetic diet. D. urine testing for ketones.

Correct Answer is B

Explanation

A. While exercise is an important aspect of diabetes management, particularly for blood glucose control and overall health, it is not the immediate priority for a newly diagnosed client. Understanding how to manage blood glucose levels is more critical initially.
B. For a client who is newly diagnosed with insulin-dependent diabetes, learning how to administer insulin is essential. This includes understanding how to prepare, inject, and store insulin, as well as recognizing the signs of hypoglycemia and hyperglycemia. Proper insulin administration is crucial for managing blood glucose levels and preventing complications.
C. Understanding dietary management is important in diabetes care, as it plays a significant role in blood sugar control. However, without knowing how to administer insulin, a client may struggle to manage their blood glucose levels effectively, making insulin administration a higher priority initially.
D. While monitoring urine for ketones is important, particularly in cases of potential diabetic ketoacidosis (DKA), this is not the first priority for a newly diagnosed client. The focus should be on fundamental skills and knowledge for managing diabetes, such as insulin administration.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A client is receiving heparin sodium 5000 units IV and oral warfarin sodium 2.5 mg PO for thrombophlebitis in the left leg. The nurse educated the client that heparin and warfarin are both used because:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is aware that which of the following social inequities are correlated with increased diabetes prevalence & more severe complications of diabetes? (SELECT ALL THAT APPLY)

Correct Answer is ["A","B"]

Explanation

The client newly diagnosed with insulin dependent diabetes is to be discharged in the morning and has received no instruction on diabetes. The nurse's teaching priority is to instruct the client in:

Correct Answer is B

Explanation

The nurse that which of the following activities/conditions increases complications of hypoglycemia for the individual with type 1 diabetes? (SELECT ALL THAT APPLY)

The nurse is caring for a client who has returned to the nursing unit from the post anesthesia care unit (PACU) 40 minutes ago following an above the knee amputation (AKA) of the right leg. In which position should the nurse place the client at this time?

The nurse is teaching an adult client with Type 1 diabetes that a primary cause of the development of diabetic ketoacidosis (DKA) is:

The nurse explains to a client that an oral antihypoglycemic agents are not effective in Type I diabetes because people with Type I diabetes:

A client diagnosed with diabetes has severe peripheral neuropathy, resulting in numbness and reduced sensation. Which intervention should the nurse teach the client to prevent injury as a result of this complication?

A client on glipizide, a sulfonylurea, reports to the nurse feeling anxious, sweaty & has a headache. The nurse's initial action is to:

A client's insulin dosage is 16 units of regular insulin in the morning. The client should be taught to expect the insulin peak within:

At 1630 a Type I diabetic client's blood glucose level is 50 mg/dl. The client is alert; however, dinner will not be served until 1715. The nurse's initial action should be to: