A patient has a PT of 40 seconds and an INR of 3.3 and is vomiting blood. Which of the following should the nurse anticipate administering?
a. Protamine sulfate 20 mg orally
b. Protamine sulfate 20 mg slowly IVP
c. Phytonadione (vitamin K) 2.5 mg orally
d. Phytonadione (vitamin K) 1 mg in 50 mL D5W infused over 1 hour
D
Although vitamin K can be given orally (2.5 mg) or intravenously (0.5 to 1 mg), the preferred route for this patient would be intravenous administration because the patient is vomiting blood.
Protamine sulfate is the antidote for heparin overdose and is administered intravenously, not orally.
Protamine sulfate is the antidote for heparin overdose.
Although vitamin K can be given orally, this route of administration is contraindicated in a pa-tient who is vomiting because the person would not receive the full effect of the medication.
You might also like to view...
Brown-Séquard syndrome results in which neurologic deficit?
a. Bilateral loss of pain sensation below the level of injury b. Bilateral loss of temperature and motor function below the level of injury c. Motor and sensory loss in the upper ex-tremities only d. Ipsilateral loss of motor function and con-tralateral loss of pain sensation and tem-perature
You are the nurse in the emergency department (ED). You are caring for a man who has returned to the ED after receiving ten stitches for a knife wound while cleaning fish
The wound is now infected, the stitches were removed, and the wound is cleaned and packed with gauze. The ED doctor plans to have the man return tomorrow to remove the packing and resuture the wound. You are aware that the wound will now heal by what? A) Late intention B) Second intention C) Third intention D) First intention
The nurse is teaching an adolescent girl strategies to relieve dysmenorrhea. What should the nurse include in the teaching session? (Select all that apply.)
a. Effleurage b. Diet high in fat c. Limiting exercise d. Use of a heating pad e. Massaging the lower back
The patient tells the nurse that he has been taking herbal preparations to boost his immune system functioning. He does not know the names of the preparations. What is the best assessment question for the nurse to ask?
1. "Would you please tell your doctor about the herbs during the next visit?" 2. "Would you please ask your wife to discuss this with me during her next visit?" 3. "Would you please have your wife bring the bottles to the hospital?" 4. "Would you please ask your wife to call the hospital pharmacist with the names?"