A nurse is caring for a client with a deep vein thrombosis who has been receiving a heparin drip for one week. The client's condition is improving. Two days ago, the primary care provider also prescribed warfarin (Coumadin). The client inquires about receiving both heparin and warfarin simultaneously. Which of the following responses is appropriate?

"Your blood was so thick that two anticoagulants were needed."

"Only one of these medications is being given to treat your deep vein thrombosis."

"Your provider must have forgotten that you were already taking heparin. I will remind her."

"Warfarin takes three to four days to achieve therapeutic anticoagulant effects. Heparin will be discontinued soon."

Answer and Explanation

The Correct Answer is D

A. This is an inaccurate explanation and may confuse the client.
B. Both medications are used together temporarily for proper anticoagulation management.
C. The simultaneous use is intentional and part of standard treatment, not a mistake.
D. Warfarin has a delayed onset and takes several days to become effective. Heparin is continued during this period to provide immediate anticoagulation. Once warfarin reaches therapeutic levels, heparin is discontinued.

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 B

Explanation

A. COPD is unrelated to the development of acute pancreatitis.
B. Gallstones are a common cause of acute pancreatitis by blocking the pancreatic duct.
C. Diabetes mellitus can be a complication of pancreatitis but is not typically a predisposing factor.
D. Hypolipidemia is not associated with pancreatitis; hyperlipidemia can be a risk factor.

A. Ask about any skin color changes that occur in response to cold B. Attempt to palpate the dorsalis pedis and posterior tibial pulses C. Check for the presence of tortuous veins bilaterally on the legs D. Assess for unilateral swelling, redness, and tenderness of either leg

Correct Answer is B

Explanation

A. Asking about skin color changes can provide information about vascular problems like Raynaud’s phenomenon but is not the priority given the client’s symptoms.
B. Palpating the dorsalis pedis and posterior tibial pulses assesses arterial blood flow, which is crucial because the client’s symptoms suggest peripheral arterial disease (intermittent claudication). This is the priority assessment.
C. Checking for tortuous veins assesses venous insufficiency or varicose veins, which do not align with the client’s symptoms.
D. Assessing for unilateral swelling, redness, and tenderness checks for deep vein thrombosis (DVT), which is unlikely based on the pain that resolves with rest.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is interviewing a client who has acute pancreatitis. Which of the following factors should the nurse anticipate finding in the client's history?

Correct Answer is B

Explanation

While a nurse is assessing a 63-year-old client at the clinic, the client states, "I have always taken an evening walk, but lately, my leg cramps and hurts after just a few minutes of walking. The pain goes away after I stop walking, though." Which of the following should the nurse do first?

Correct Answer is B

Explanation

A nurse is preparing to administer a transfusion of red blood cells to a client who has a history of heart failure. Which of the following manifestations would indicate that the client has fluid overload?

A nurse provides preoperative teaching by demonstrating diaphragmatic breathing to a client scheduled for surgery in the morning. Which of the following actions should the nurse include in the demonstration?

A nurse is assessing a female client who is at risk for developing type 2 diabetes mellitus. The nurse should identify which of the following manifestations increases the client's risk for developing type 2 diabetes.

A nurse is providing care for a client who had a laparoscopic cholecystectomy. Which of the following is an appropriate nursing action postoperatively?

The nurse caring for a client post-colon resection assesses the client on the second postoperative day. The nasogastric tube remains patent and is draining moderate amounts of greenish fluid. Which assessment finding would suggest that the client's potassium level is too low?

The client is admitted to the medical unit with suspected acute pancreatitis. Which laboratory values should the nurse monitor to confirm this diagnosis?

A nurse is caring for a client who has uncontrolled type 1 diabetes mellitus. Which of the following findings should the nurse expect?

The nurse is caring for a client who has a history of Chronic alcoholism and is experiencing increased blood pressure, hyperactive deep tendon reflexes, abdominal distention, and mood changes. Which electrolyte imbalance does the client have?