A nurse is caring for a client who is prescribed heparin via intravenous (IV). 40 minutes after the administration of heparin, the client reports "coughing up blood" and notes there is blood in his stool.
Based on the client's presenting symptoms, which of the following options is an antidote for this client?
Benztropine.
Protamine sulfate.
Vitamin K.
Digibind.
The Correct Answer is B
Choice A rationale
Benztropine is an anticholinergic agent used to treat Parkinsonism and extrapyramidal symptoms, not suitable for reversing heparin effects.
Choice B rationale
Protamine sulfate is the specific antidote for heparin overdose. It works by neutralizing the anticoagulant effects of heparin.
Choice C rationale
Vitamin K is an antidote for warfarin overdose, promoting the synthesis of clotting factors, but ineffective against heparin.
Choice D rationale
Digibind is an antidote for digoxin toxicity, not appropriate for counteracting heparin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Opioid toxicity triad includes symptoms of pinpoint pupils, respiratory depression, and coma. These symptoms are indicative of a morphine sulfate overdose.
Choice B rationale
Orthostatic hypotension is a form of low blood pressure that happens when standing up from sitting or lying down. It is not related to opioid toxicity.
Choice C rationale
Hypertension is high blood pressure. It is not related to opioid toxicity.
Choice D rationale
Abstinence syndrome is a group of symptoms that occur upon the abrupt discontinuation or decrease in intake of medications or recreational drugs. It is not the appropriate complication for the client's presentation. .
Correct Answer is ["B","C"]
Explanation
Choice A rationale
Furosemide is a loop diuretic that inhibits the sodium-potassium-chloride co-transporter in the thick ascending limb of the loop of Henle. This results in significant loss of potassium in the urine.
Choice B rationale
NaoxGhe is not a recognized diuretic or medication and should not be included in any in-service discussion.
Choice C rationale
Spironolactone is a potassium-sparing diuretic that works by antagonizing the effects of aldosterone in the distal tubules, reducing potassium excretion.
Choice D rationale
"None of the above" is not a medication but rather a non-relevant option in this context.
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