Which medication should the nurse have available to reverse heparin's effects for a client who has thrombophlebitis and is receiving a continuous heparin infusion?
Protamine sulfate.
Deferoxamine.
Sodium polystyrene sulfonate.
Acetylcysteine.
The Correct Answer is A
Protamine sulfate is a medication that can be used to reverse the anticoagulant effects of heparin1.
It is a polycationic protein drug obtained from the sperm of fish and is used to reverse the anticoagulant effect of unfractionated heparin (UFH)2.
Choice B, Deferoxamine, is not the correct answer because it is a medication used to treat iron overload, not to reverse heparin’s effects.
Choice C, Sodium polystyrene sulfonate, is not the correct answer because it is a medication used to treat high levels of potassium in the blood, not to reverse heparin’s effects.
Choice D, Acetylcysteine, is not the correct answer because it is a medication used to treat acetaminophen overdose and to loosen thick mucus in individuals with cystic fibrosis or chronic obstructive pulmonary disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
This is the first step in controlling bleeding and preventing hematoma formation 1.
Applying direct pressure to the wound with a sterile gauze or a clean cloth can help stop the bleeding 2.
Choice A is not the best answer because a tourniquet should only be used as a last resort to control life-threatening bleeding from a limb 2.
Choice B is not the best answer because placing the client in a modified Trendelenburg position is not necessary for this situation.
Choice D is not the best answer because settling the client in a reclining position is not necessary for this situation.
Correct Answer is B
Explanation
The nurse should administer 2.5 tablets.
To determine the number of tablets needed to administer a dose of 5 mg using 2 mg tablets, you can divide the desired dose (5 mg) by the available tablet strength (2 mg/tablet): 5 mg ÷ 2 mg/tablet = 2.5 tablets.
Choice A is incorrect because administering 2 tablets would only provide a dose of 4 mg (2 tablets x 2 mg/tablet = 4 mg).
Choice C is incorrect because administering 2.6 tablets would provide a dose of 5.2 mg (2.6 tablets x 2 mg/tablet = 5.2 mg).
Choice D is incorrect because administering 3 tablets would provide a dose of 6 mg (3 tablets x 2 mg/tablet = 6 mg).
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