What is a side effect of heparin?
Bleeding
Hyperglycemia
Constipation
Thrombus
The Correct Answer is A
A. Bleeding: Heparin enhances the activity of antithrombin III, which inhibits clotting factors and prolongs clotting time. This mechanism increases the risk for bleeding, making it the most common and clinically significant adverse effect requiring close monitoring.
B. Hyperglycemia: Heparin does not interfere with insulin secretion or glucose metabolism. Elevated blood glucose levels are more commonly associated with corticosteroids, stress responses, or uncontrolled diabetes rather than anticoagulant therapy.
C. Constipation: Heparin does not affect gastrointestinal motility. Constipation is more frequently linked to opioid analgesics, anticholinergic medications, or reduced fluid and fiber intake.
D. Thrombus: Heparin is used to prevent and treat thrombus formation by inhibiting coagulation pathways. While heparin-induced thrombocytopenia can paradoxically increase clot risk, thrombus formation is not a typical direct side effect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Salivation: Diphenhydramine, an antihistamine with anticholinergic properties, typically reduces salivation rather than increases it. Excessive drooling is not a side effect of this medication.
B. Watery eyes: Diphenhydramine works to relieve allergic symptoms, including watery eyes, so this symptom is more likely to be a reason for taking the medication rather than a side effect.
C. Urinary frequency: Anticholinergic effects of diphenhydramine usually cause urinary retention, not increased frequency. Clients may experience difficulty voiding rather than needing to urinate more often.
D. Constipation: The anticholinergic action of diphenhydramine can slow gastrointestinal motility, leading to constipation. Clients should be advised about this potential side effect and strategies to prevent it, such as increased fluid and fiber intake.
Correct Answer is ["C","E"]
Explanation
A. Bradycardia: Lisinopril does not directly affect heart rate and is not associated with clinically significant bradycardia. Its primary cardiovascular effect is vasodilation through inhibition of the renin-angiotensin-aldosterone system, which lowers blood pressure rather than slowing the pulse.
B. Hypokalemia: ACE inhibitors decrease aldosterone secretion, which reduces potassium excretion by the kidneys. This mechanism places clients at risk for hyperkalemia rather than hypokalemia, especially in those with renal impairment or who use potassium supplements.
C. Productive cough: Lisinopril is associated with a persistent dry, nonproductive cough due to bradykinin accumulation. A productive cough suggests infection or another respiratory condition rather than a medication-related effect of ACE inhibitors.
D. Swelling of face: Facial swelling is a sign of angioedema, a serious and potentially life-threatening adverse effect of lisinopril. It can involve the lips, tongue, face, and airway, requiring immediate discontinuation of the medication and urgent intervention.
E. Dizziness: Dizziness commonly occurs due to the blood pressure–lowering effects of lisinopril, particularly after the first dose or with position changes. Reduced systemic vascular resistance can lead to orthostatic symptoms, especially in older adults or volume-depleted clients.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.