A nurse is caring for a client who has thrombophlebitis and is receiving heparin by continuous IV infusion. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse give?

"It usually takes heparin at least 2 to 3 days to reach a therapeutic blood level.

"The oral medication you will take after this IV will dissolve the clot."

"Heparin does not dissolve clots. It stops new clots from forming."

"A pharmacist is the person to answer that question.'

Answer and Explanation

The Correct Answer is C

C. Heparin is an indirect thrombin inhibitor that prevents clot formation. It does not dissolve existing clots.
A. The onset of action of heparin is immediate
B. The oral anticoagulants also don’t dissolve the clot
D. The nurse should also understand the pharmacology of the drugs she or he is administering.

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Correct Answer is D

Explanation

D. Morphine cause respiratory depression
A. Not directly related to respiratory depression
B. Expected outcome as morphine is an analgesic
C. Sleepiness after morphine use is expected and not alarming after respiratory depression has been ruled out

A. Therapy with filgrastim B. Leucovorin rescue C. A transfusion of whole blood D. Administration of allopurinol

Correct Answer is B

Explanation

B. methotrexate is a dihydrofolate reductase inhibitor which inhibits synthesis of building block for DNA synthesis and repair
A. Filgrastim is a growth factor used to boost neutrophil production
C. Transfusion-maybe necessary in the case of severe anemia
D. Allopurinol is an anti-uricemic agent used in gout

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A nurse is caring for a client who has thrombophlebitis and is receiving heparin by continuous IV infusion. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse give?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client IS min after administering morphine sulfate 2 mg via IV push. The nurse should identify which of the following findings as an adverse effect of the medication?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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