Whenever a nurse is caring for clients who are receiving warfarin (Coumadin), which of the following medications should the nurse have on hand in the event of an overdose?

Protamine

Vitamin K

Atropine

Epinephrine

Answer and Explanation

The Correct Answer is B

A.   Protamine is used to reverse the effects of heparin, not warfarin.
B.   Vitamin K is the antidote for warfarin overdose, as it promotes the synthesis of clotting factors that are inhibited by warfarin.
C.   Atropine is used to treat bradycardia and other conditions, but it is not used to reverse the effects of warfarin.
D.   Epinephrine is used to treat severe allergic reactions (anaphylaxis) and cardiac arrest, but it is not used to reverse the effects of warfarin.

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Correct Answer is C

Explanation

A. Secondary prevention focuses on early detection and intervention to prevent further harm or complications. Tube feeding for a special needs student is not aimed at preventing the initial onset of a condition or injury.
B. Quaternary prevention focuses on avoiding unnecessary medical interventions and reducing the risk of over-medicalization. Tube feeding for a special needs student is a necessary medical intervention.
C. Tertiary prevention focuses on managing and treating existing conditions to prevent further complications or disability. Helping a special needs student with tube feeding is aimed at managing their existing condition (inability to eat orally) to prevent malnutrition or other complications.
D. Primary prevention focuses on preventing the initial onset of a condition or injury. Tube feeding for a special needs student is not aimed at preventing the initial onset of their inability to eat orally.

A. Rub hands and arms to dry. B. Adjust the water temperature to feel hot. C. Hold the hands higher than the elbows. D. Apply 4 to 5 mL of liquid soap to the hands.

Correct Answer is D

Explanation

A. Rubbing hands and arms to dry is not a step in the hand hygiene process. After washing, the hands should be dried thoroughly with a clean towel or air dryer.
B. Adjusting the water temperature to feel hot is not necessary for effective hand hygiene. The water should be warm, but not hot, to avoid skin damage.
C. Holding the hands higher than the elbows is not a step in the hand hygiene process.
D. Applying 4 to 5 mL of liquid soap to the hands is the correct amount of soap to use for effective hand hygiene. The soap should be rubbed onto the hands and wrists for at least 20 seconds before rinsing thoroughly with water.

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Whenever a nurse is caring for clients who are receiving warfarin (Coumadin), which of the following medications should the nurse have on hand in the event of an overdose?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A school nurse is helping a special needs student with tube feeding during the lunch hour. Which of the following levels of prevention does this fall under?

Correct Answer is C

Explanation

A nurse is preparing to perform hand hygiene. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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