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

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

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

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Hypocalcemia usually causes prolonged QT intervals, not shortened.
B. Constipation is more commonly associated with hypercalcemia.
C. Tingling of the extremities (paresthesias) is a classic sign of hypocalcemia.
D. Hypocalcemia typically causes hyperactive deep tendon reflexes, not hypoactive.

A. "Drink 240 to 360 milliliters of calorie-free liquids every 8 hours." B. "Test your blood glucose level every 8 hours." C. "Withhold your usual daily dose of insulin." D. "Check your urine for ketones when blood glucose levels are greater than 240 mg/dL."

Correct Answer is D

Explanation

A. Clients should drink calorie-containing fluids to maintain energy and prevent hypoglycemia during illness, not just calorie-free liquids.
B. Blood glucose should be tested every 3 to 4 hours, not every 8 hours, during illness to detect hyperglycemia early.
C. Clients should continue their usual insulin dose even when ill to prevent DKA.
D. Clients should check urine for ketones when blood glucose levels exceed 240 mg/dL to detect early signs of ketoacidosis and seek prompt medical care.

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 caring for a client who had a total thyroidectomy and a serum calcium level of 7.6 mg/dL(range 8.8 -10.5). Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse reviews guidelines to prevent diabetic ketoacidosis (DKA) during periods of illness with a client with type 1 diabetes mellitus. Which of the following instructions should the nurse include in the teaching?

Correct Answer is D

Explanation

Which assessment finding would the nurse expect from a client with chronic peripheral arterial disease (PAD)?

Which assessment finding would alert the nurse to the possibility of worsening hyponatremia?

When providing discharge education to a client who had a laparoscopic cholecystectomy, the nurse should instruct the client to notify the provider immediately if which of the following conditions develop?

A nurse is caring for a client who is two hours postoperative after a laparoscopic cholecystectomy. The client is complaining of pain in the right shoulder. Which nursing intervention should the nurse implement?

The nurse is caring for a client who receives an intermediate-acting insulin, Humulin N (Novolin N, Neutral Protamine Hagedorn insulin, isophane, NPH), 25 units daily at 7 a.m. When is hypoglycemia most likely to occur?

The nurse is caring for a client with a large venous ulcer on the leg. What intervention should the nurse implement to promote healing and prevent infection?

A nurse is caring for a preoperative client. The nurse signs as a witness on the client's consent form. Which of the following does the nurse's signature on the consent form indicate?

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