A nurse is caring for a patient who is receiving heparin by continuous IV infusion.
Which of the following medications should the nurse plan to administer in the event of an overdose?

Vitamin K

Iron

Glucagon

Protamine

Answer and Explanation

The Correct Answer is D

Choice A rationale

Vitamin K is not the antidote for heparin. It is used to reverse the effects of warfarin, which is a vitamin K antagonist.

Choice B rationale

Iron is not related to the reversal of heparin. It is a mineral that is crucial for many bodily functions, including the transport of oxygen in the blood.

Choice C rationale

Glucagon is a hormone that raises the level of glucose in the blood. It is not used as an antidote for heparin.

Choice D rationale

Protamine is the correct choice. Protamine sulfate is a drug that reverses the anticoagulant effects of heparin by binding to it and forming a stable complex, thereby neutralizing its anticoagulant activity.

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Correct Answer is C

Explanation

Choice A rationale

Swabbing an area of skin away from the wound to identify the usual flora is not the correct action. This would not provide a representative sample of the wound infection.

Choice B rationale

Irrigating the wound with an antiseptic prior to obtaining the specimen is not the correct action. This could potentially alter the results of the culture.

Choice C rationale

Cleansing the wound with 0.9% sodium chloride saline irrigation before obtaining the specimen is the correct action. This helps to remove surface bacteria and ensures a more accurate culture result.

Choice D rationale

Including intact skin at the wound edges in the culture is not the correct action. This could contaminate the specimen with bacteria that are not part of the wound infection.

A. Notify the provider. B. Continue to monitor the client. C. Perform a bladder scan at the bedside. D. Provide oral rehydration fluids.

Correct Answer is B

Explanation

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A nurse is caring for a patient who is receiving heparin by continuous IV infusion.Which of the following medications should the nurse plan to administer in the event of an overdose?

Nursing Test Bank

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A nurse is caring for a patient who is receiving heparin by continuous IV infusion.
Which of the following medications should the nurse plan to administer in the event of an overdose?