A nurse is caring for a patient who is receiving heparin by continuous IV infusion.
Which of the following medications should the nurse plan to administer in the event of an overdose?
Vitamin K
Iron
Glucagon
Protamine
The Correct Answer is D
Choice A rationale
Vitamin K is not the antidote for heparin. It is used to reverse the effects of warfarin, which is a vitamin K antagonist.
Choice B rationale
Iron is not related to the reversal of heparin. It is a mineral that is crucial for many bodily functions, including the transport of oxygen in the blood.
Choice C rationale
Glucagon is a hormone that raises the level of glucose in the blood. It is not used as an antidote for heparin.
Choice D rationale
Protamine is the correct choice. Protamine sulfate is a drug that reverses the anticoagulant effects of heparin by binding to it and forming a stable complex, thereby neutralizing its anticoagulant activity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Bumetanide is a diuretic, which means it helps your body get rid of extra water. This can make you urinate more often. Taking the second dose at night could disrupt your sleep.
Choice B rationale
While it’s important to monitor fluid intake when taking a diuretic, there’s no specific requirement to limit fluid intake to 1.5 liters a day. Fluid needs can vary based on individual circumstances.
Choice C rationale
Bumetanide can sometimes cause hearing changes or loss, which is usually reversible once the medication is stopped. Therefore, patients should report any changes in hearing to their healthcare provider.
Choice D rationale
Bumetanide can cause the body to lose potassium, which is an important nutrient for heart function. Therefore, it’s usually recommended to consume foods high in potassium, not avoid them.
Correct Answer is A
Explanation
Choice A rationale
The statement “Do you think you could keep him in the nursery for the next feeding so I can get some sleep?” indicates that the mother may be experiencing inhibited parental attachment.
After childbirth, it is normal for a new mother to feel tired and need rest. However, consistently preferring to have the baby cared for in the nursery rather than spending time bonding may suggest inhibited parental attachment.
Choice B rationale
The statement “I don’t need a baby bath demonstration. I know how to do it.”. suggests that the mother is confident in her ability to care for her baby, which is a positive sign of parental attachment. It shows that she is prepared and willing to take on the responsibilities of parenthood.
Choice C rationale
The statement “I wish he had more hair. I will keep a hat on his head until he grows some.”. may indicate a slight disappointment in the baby’s appearance but does not necessarily indicate inhibited parental attachment. It’s common for parents to have certain expectations or hopes about their baby’s appearance.
Choice D rationale
The statement “He’s got my husband’s nose, that’s for sure.”. indicates that the mother is observing and commenting on the baby’s features, which is a positive sign of parental
attachment. Recognizing familial features helps in bonding and forming an attachment with the baby.
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