The nurse is caring for a patient who received protamine sulfate in error. The patient is not receiving, and has never received, heparin. What effect does the nurse assess for in this patient?
A) Coagulation effects
B) No effect
C) Anticoagulant effects
D) Antiplatelet effects
C
Feedback:
Paradoxically, if protamine is given to a patient who has not received heparin, it has anticoagulant effects. Protamine is normally used as an antidote to heparin overdose but if heparin was not administered, it does not have coagulation or antiplatelet effects. Since it has anticoagulant effects it cannot be said to have no effect.
You might also like to view...
A respected school coach is arrested after a student reports that he attempted to have sexual contact with him. Which issue would be the priority for assessment in the period immediately following the coach's arrest?
a. Determine the nature and extent of his sexual disorder. b. Investigate whether other children were harmed. c. Assess the potential for suicide or other self-harm. d. Assess the patient's perception of his problem and needs.
Which of the following demonstrates the primary difference between a nursing history and a medical history?
A. Focus of the history B. Amount of detail present C. Health professional obtaining the history D. Person from whom the history was obtained
Nurses complete incident reports as dictated by the agency protocol. What is the primary reason nurses fill out an incident report?
a. to initiate litigation b. to document the need for disciplinary action c. to improve quality of care d. to document everyday occurrences
An Asian-American patient is referred to the mental health clinic. He has many somatic complaints for which no physical basis has been found
The patient tells the nurse that he does not believe this clinic can help him. Based on knowledge of the beliefs common to this culture, what can the nurse hypothesize about the patient? a. Because of the cultural stigma attached to mental illness, he may be expressing psychological distress via somatic symptoms. b. Acculturation has occurred because feelings of hopelessness are alien to his native culture. c. Suicide is not a present danger because suicidal impulses are rarely associated with feelings of helplessness among Asian-American patients. d. The patient has rejected both family care and traditional healing methods in favor of health care practices of the new culture.