The client was prescribed both heparin and warfarin sodium (Coumadin). What is the rationale for using both these anticoagulants?

a. It takes time before the action of oral anticoagulants is evident.
b. Heparin is more effective when used with warfarin sodium.
c. By administering an oral anticoagulant with heparin, the client needs less frequent administration of heparin.
d. The client is less likely to experience adverse effects


ANS: A

Feedback
A Correct: For rapid effects, heparin is needed because it takes time for oral hypocoagulants to produce results.
B Incorrect: This is a false statement.
C Incorrect: This is a false statement, as these two agents work on different time frames.
D Incorrect: This is a false statement.

Nursing

You might also like to view...

What is a volvulus?

A) Protrusion of intestine through a weakened area in the abdominal muscle B) One part of the intestine slips into another part located below it C) Loops of intestine become adherent to areas that heal slowly or scar D) Bowel twists on itself, occluding the blood supply

Nursing

The nurse giving you a report on a newly admitted profoundly deaf patient says that the patient is confused and difficult to assess because she does not respond to questions appro-priately or sometimes does not respond at all

The oncoming nurse will consider: 1. having a psychiatrist see the patient to determine if the patient has dementia. 2. assessing the patient to determine if her hearing aids are in. 3. reporting to the physician that the patient is "sundowning." 4. assessing medications to check for an overdose.

Nursing

The 20-year-old client at 10 weeks' gestation is preparing for her first prenatal visit. She confides: "This pregnancy was unplanned. I'm not sure if I want to be pregnant or not. I haven't even told my boyfriend I'm pregnant

And I haven't decided if I'm going to continue the pregnancy." Which of the following statements should the nurse make next? 1. "It's really unusual for a pregnant woman to feel this way early in the pregnancy." 2. "These thoughts are because your mother died when you were 4 years old." 3. "You should go to a pregnancy support group to be a good mother." 4. "It's common to feel ambivalent about pregnancy in the first trimester."

Nursing

Herbs and supplements that have been found to lower cholesterol naturally are: (Select all that apply.)

a. garlic. b. bananas. c. oatmeal. d. St. John's wort. e. soy products.

Nursing