The nurse is monitoring the aPTT level for an assigned client. Which of the following medications requires this type of laboratory monitoring?
Clopidogrel [Plavix]
Warfarin [Coumadin]
Enoxaparin [Lovenox]
Heparin
The Correct Answer is D
A. Clopidogrel is an antiplatelet medication and does not require aPTT monitoring.
B. Warfarin requires monitoring of the INR, not aPTT.
C. Enoxaparin, a low-molecular-weight heparin, generally does not require aPTT monitoring.
D. Heparin therapy requires monitoring of the activated partial thromboplastin time (aPTT) to ensure therapeutic levels and to adjust dosage as necessary.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Lithium is a mood stabilizer commonly used to treat acute mania and stabilize mood in bipolar disorder.
B. Diazepam (Valium) is a benzodiazepine used for anxiety, not for acute mania.
C. Bupropion (Wellbutrin) is an antidepressant that is not typically used for treating mania.
D. Paroxetine (Paxil) is an antidepressant, and while it may be used for depression, it is not indicated for treating acute mania.
Correct Answer is D
Explanation
A. Quinidine is used for other types of arrhythmias but is not typically the first choice for recurrent ventricular fibrillation that has not responded to other treatments.
B. Digoxin is used to manage heart failure and atrial fibrillation but is not effective for ventricular fibrillation.
C. Atropine is used for bradycardia, not ventricular fibrillation.
D. Amiodarone is a potent antiarrhythmic agent used for life-threatening ventricular arrhythmias, including ventricular fibrillation, particularly when other treatments have failed.
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