A nurse is caring for a client who is prescribed warfarin via oral (PO) route.
Two hours after the administration of warfarin, the client reports having dark tarry stools and petechiae.
Based on the client's presenting symptoms, which of the following options is an antidote for warfarin toxicity?
Vitamin K1.
Protamine sulfate.
Heparin.
Digibind.
The Correct Answer is A
Choice A rationale
Vitamin K1 is used as an antidote for warfarin toxicity because it helps in the synthesis of clotting factors, reversing the anticoagulant effects of warfarin.
Choice B rationale
Protamine sulfate is used to counteract the effects of heparin, not warfarin.
Choice C rationale
Heparin is an anticoagulant and would worsen bleeding if given in the case of warfarin toxicity.
Choice D rationale
Digibind is used to treat digoxin toxicity and has no role in reversing the effects of warfarin. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Combining multiple hepatotoxic medications increases the risk of liver damage due to cumulative toxicity effects.
Choice B rationale
Liver damage impairs the liver's ability to metabolize medications, leading to medication accumulation and potential adverse effects.
Choice C rationale
Combining hepatotoxic medications does not decrease the risk of liver damage; it increases it, as multiple toxic agents compound the stress on the liver.
Choice D rationale
Common manifestations of hepatotoxicity include symptoms like nausea, vomiting, jaundice, dark urine, abdominal discomfort, and anorexia, indicating liver dysfunction.
Correct Answer is A
Explanation
Choice A rationale
Propylthiouracil (PTU) is used to treat hyperthyroidism. It works by inhibiting the production of thyroid hormones, thereby reducing symptoms of hyperthyroidism such as rapid heart rate, sweating, and nervousness.
Choice B rationale
Propylthiouracil (PTU) is not used to treat hyperglycemia. Medications for hyperglycemia include insulin and oral hypoglycemic agents.
Choice C rationale
Propylthiouracil (PTU) is not indicated for hypoglycemia. Treatment for hypoglycemia typically includes glucose administration or glucagon.
Choice D rationale
Propylthiouracil (PTU) is not used to treat hypothyroidism. Hypothyroidism is treated with thyroid hormone replacement therapy, such as levothyroxine.
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