A patient who received the thrombolytic drug alteplace (Activase) asks the nurse why continuous heparin is now infusing intravenously. What is the nurse's best response?

a. "There may be additional clots in your body and we want to be sure they are all dissolved."
b. "Once the clot is dissolved, heparin is given continuously to prevent any new clots from forming."
c. "The heparin finishes the job of dissolving the clot that the alteplace started."
d. "Heparin is infused continuously in case we need to give additional dosages of alteplase."


B
After thrombolytic therapy to dissolve an existing clot, anticoagulation with heparin prevents the formation of new clots.

Nursing

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When preparing nutritional instruction, which of the following pregnant clients would the nurse consider highest priority?

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The nurse knows that interferon agents are used in association with chemotherapy to produce which effects in the client?

A) Suppression of the bone marrow B) Enhance action of the chemotherapy C) Decrease the need for additional adjuvant therapies D) Shorten the period of neutropenia

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Biotransformation is affected by many factors. What happens to the client's drug metabolism when liver function is decreased?

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The mother of a hospitalized child reports that her daughter, who is having some difficulty eating, just had a 4-ounce cup of ice chips. The nurse documents this on the child's intake flow sheet as how much?

A) 2 ounces B) 4 ounces C) 6 ounces D) 8 ounces

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