Question

1. True False Epoetin is a Hematopoietic growth factor which acts on the bone marrow to increase production of red blood cells. 2. A nurse is caring for a patient with heart disease who is newly prescribed Aspirin. The RN understands the reason the patient was prescribe Aspirin is likely: A. To clot the blood to prevent a future heart attack B. Prevention of an acute myocardial infarction C. Treatment of venous thrombosis D. Treat acute deep vein thrombosis 3. A patient who is taking warfarin (Coumadin) arrives to the emergency department and reports rectal bleeding. Which of the following drugs should healthcare professional have available? a. Filgrastim (Neupogen) b. Deferoxamine (Desferal) c. Protamine d. Vitamin K 4. The nurse is planning to administer subcutaneous Enoxaparin 40mg using a prefilled syringe to a client post hip surgery. The RN will advise the client to report sign of symptoms of bleeding including the following: SELECT ALL THAT APPLY A. Increased heart rate B. Increase blood pressure C. Bruising D. Hematoma formation E. Black tarry stools 5. The oral anticoagulant, Warfarin is prescribed for a patient with atrial fibrillation. The following lab value will be monitored to ensure the Warfarin is in the therapeutic level. A. Platelet level B. INR C. Vitamin K level D. CBC 6. The nurse is caring for a hospitalized patient receiving IV heparin. The patient begins to vomit blood. The RN stops the IV heparin drip and plans to administer the following antidote? A. Vitamin K B. Atropine C. Protamine D. Calcium gluconate

Answer 1

Answers:

1 True

Reason: Epoetin is a man made hematopoietic helps in the production of red blood cells by the activation of bone marrow.

2.B) Prevention of an acute myocardial infarction

Reason: Aspirin prevents the formation blood clots and thereby reduces the risk of heart attack.

3.d) Vitamin k

Reason: vitamin k is the antidote for warfarin

4.C bruising and E black tarry stool

Reason: Anticoagulant therapy causes the risk of bleeding which includes gum bleeding, bruising, haematuria, black tarry stool.

5.B) INR

Reason: coagulation value helps to identify the therapeutic level of warfarin.

6.C) Protamine

Reason: It is the antidote of heparin

7.C) Alteplase

Reason: It is thrombolytic agent used  to lysis the clot that form in the brain.

8.A) Allergic reactions, diphenhydramine

Reason: Allergic reactions are the complication of blood transfusions. Diphenhydramine is a antihistamine used to treat the allergic symptoms.

9.B) Packed red blood cells

Reason: It helps to improve the hemoglobin levels