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A client who has been anticoagulated with warfarin (Coumadin) has been admitted for gastrointestinal bleeding. The history and physical examination indicates that the client may have been taken too much warfarin. The nurse anticipates that client will receive which antidote?

Potassium chloride

Vitamin E

Protamine sulfate

Vitamin K

Answer and Explanation

The Correct Answer is D

A. Potassium chloride is used to treat hypokalemia, not as a warfarin antidote.

B. Vitamin E does not counteract warfarin’s effects and may increase bleeding risk.

C. Protamine sulfate is the antidote for heparin, not warfarin.

D. Vitamin K is the appropriate antidote for excessive warfarin, as it promotes the synthesis of clotting factors inhibited by warfarin.

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Correct Answer is B

Explanation

A. Stool frequency does not directly evaluate the prevention of stress ulcers or gastrointestinal bleeding.

B. Fecal occult test directly assesses for hidden gastrointestinal bleeding, making it the best evaluation method.

C. Bowel sounds, while important for general gastrointestinal assessment, bowel sounds do not directly evaluate the effectiveness of Esomeprazole in preventing bleeding.

D. Abdominal distention may indicate a variety of issues but is not specific to assessing the effectiveness of a proton pump inhibitor.

A. Increase IV fluid infusion per protocol. B. Lower the head of the clients bed in Trendelenburg position C. Document CVP and continue to monitor. D. Administer IV diuretic medications.

Correct Answer is D

Explanation

A. Increasing IV fluids would exacerbate the client's fluid overload and worsen heart failure symptoms.

B. Trendelenburg positioning is typically used for shock management, but this client’s fluid overload needs to be addressed first.

C. Monitoring is important but does not address the immediate need to manage fluid overload.

D. The client's elevated CVP, PAWP, and BNP levels indicate fluid overload and heart failure with reduced ejection fraction. The priority is to reduce fluid overload by administering IV diuretics, which will help reduce the pressure in the heart and lungs, improving oxygenation and decreasing the risk of pulmonary edema.

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A client who has been anticoagulated with warfarin (Coumadin) has been admitted for gastrointestinal bleeding. The history and physical examination indicates that the client may have been taken too much warfarin. The nurse anticipates that client will receive which antidote?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The proton pump inhibitor Esomeprazole (Nexium) is prescribed for a client who incurred extensive burn injuries 5 days ago. Which nursing assessment would best evaluate the effectiveness of the drug?

Correct Answer is B

Explanation

Correct Answer is D

Explanation

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