Exam 45: Anticoagulants, Antiplatelets, and Thrombolytics

A patient who has recently had a myocardial infarction (MI)will begin taking clopidogrel (Plavix)to prevent a second MI.Which medication will the nurse expect the provider to order as adjunctive therapy for this patient?

A patient who is taking clopidogrel (Plavix)and aspirin is preparing for orthopedic surgery.The nurse will consult with the surgeon and provide which instruction to the patient?

A patient has been receiving intravenous heparin.When laboratory tests are drawn,the nurse has difficulty stopping bleeding at the puncture site.The patient has bloody stools and is reporting abdominal pain.The nurse notes elevated partial thromboplastin time (PTT)and activated partial thromboplastin time (aPTT).Which action will the nurse perform?

A nursing student asks why the anticoagulant heparin is given to patients who have disseminated intravascular coagulation (DIC)and are at risk for excessive bleeding.The nurse will explain that heparin is used in this case for which reason?

A patient experiences a blood clot in one leg,and the provider has ordered a thrombolytic medication.The patient learns that the medication is expensive and asks the nurse if it is necessary.Which response by the nurse is correct?

The nurse is assessing a patient who takes warfarin (Coumadin).The nurse notes a heart rate of 92 beats per minute and a blood pressure of 88/78 mm Hg.To evaluate the reason for these vital signs,the nurse will assess the patient's

The nurse is preparing to administer a first dose of clopidogrel (Plavix)to a patient.As part of the history,the nurse learns that the patient has a previous history of peptic ulcers,diabetes,and hypertension.The nurse understands it will be necessary to notify the provider and obtain an order for

A patient is receiving a thrombolytic medication.The patient calls the nurse to report having bloody diarrhea.The nurse will anticipate administering which medication?

A patient who has received heparin after previous surgeries will be given enoxaparin sodium (Lovenox)after knee-replacement surgery.The patient asks how this drug is different from heparin.The nurse will explain that enoxaparin

The nurse is caring for a patient who is receiving warfarin (Coumadin)and notes bruising and petechiae on the patient's extremities.The nurse will request an order for which laboratory test?

The nurse is caring for a postoperative patient who is receiving alteplase tPA (Activase)after developing a blood clot.The nurse notes a heart rate of 110 beats per minute and a blood pressure of 90/60 mm Hg.The nurse will perform which action?

The nurse is caring for a patient who is receiving clopidogrel (Plavix).The patient calls the nurse to report flulike symptoms.The nurse notes a heart rate of 76 beats per minute,a blood pressure of 110/76 mm Hg,and a respiratory rate of 20 breaths per minute.The nurse suspects that the patient is experiencing which condition?

The nurse is caring for a postoperative patient.The nurse will anticipate administering which medication to this patient to help prevent thrombus formation caused by slow venous blood flow?

The nurse is teaching a patient who will begin taking warfarin (Coumadin)for atrial fibrillation.Which statement by the patient indicates understanding of the teaching?

A patient who is taking warfarin has an international normalized ratio (INR)of 5.5.The nurse will anticipate giving

The nurse is assessing a patient prior to administering thrombolytic therapy.Which is an important assessment for this patient?

The nurse has just begun administering intravenous streptokinase (Streptase).The nurse assesses vital signs and notes a temperature of 37° C,a heart rate of 70 beats per minute,and a blood pressure of 88/58 mm Hg.The nurse will contact the provider to

A patient is taking clopidogrel bisulfate (Plavix).When teaching this patient about dietary restrictions while taking this medication,the nurse will instruct the patient to avoid excessive consumption of which food?