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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. The medication must be given as a rapid intravenous IV push due to its short half-life not slowly.

B. Asystole is a common and expected response after adenosine administration.

C. Adenosine has a very short half-life, contrary to this statement.

D. The onset of action is immediate, not in 5 minutes.

A. "Clean the skin and clip hairs if needed." B. "Turn off oxygen prior to monitoring the client." C. "Place the electrodes on the posterior chest." D. "Add gel to the electrodes prior to applying them."

Correct Answer is A

Explanation

A. Cleaning the skin and clipping hairs ensures good electrode contact, which is essential for accurate ECG readings. This is the correct statement.

B. Oxygen should not be turned off unless specifically instructed by a provider. It does not interfere with ECG monitoring.

C. Electrodes should be placed on the anterior chest for standard ECG monitoring, not on the posterior chest.

D. Electrodes for ECG monitoring typically come with adhesive backing and do not require additional gel.

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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

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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