Which medication should the nurse have available to reverse heparin's effects for a client who has thrombophlebitis and is receiving a continuous heparin infusion?
Protamine sulfate.
Deferoxamine.
Sodium polystyrene sulfonate.
Acetylcysteine.
The Correct Answer is A
Protamine sulfate is a medication that can be used to reverse the anticoagulant effects of heparin1.
It is a polycationic protein drug obtained from the sperm of fish and is used to reverse the anticoagulant effect of unfractionated heparin (UFH)2.
Choice B, Deferoxamine, is not the correct answer because it is a medication used to treat iron overload, not to reverse heparin’s effects.
Choice C, Sodium polystyrene sulfonate, is not the correct answer because it is a medication used to treat high levels of potassium in the blood, not to reverse heparin’s effects.
Choice D, Acetylcysteine, is not the correct answer because it is a medication used to treat acetaminophen overdose and to loosen thick mucus in individuals with cystic fibrosis or chronic obstructive pulmonary disease.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
“I understand your request to have only male staff members attend to your care.” This response acknowledges the client’s request and shows that the nurse is willing to listen to his concerns.
Choice A is not the correct answer because it can be perceived as confrontational and may make the client feel uncomfortable.
Choice C is not the correct answer because it dismisses the client’s request and may make him feel unheard.
Choice D is not the correct answer because it implies that the nurse will immediately comply with the client’s request without further discussion or consideration of other options.
Correct Answer is D
Explanation
The nurse should instruct the client to cleanse the skin before applying a nitroglycerin transdermal patch 1.
This is because it is important to apply the patch to a clean, dry skin area with little or no hair that is free of scars, cuts, or irritation 1.
Choice A is incorrect because it is not recommended to use an old patch with medication residue.
Instead, always remove a previous patch before applying a new one 1.
Choice B is incorrect because a nitroglycerin patch should not be kept in place for 72 hours before replacing.
Instead, it should be worn for 12 to 14 hours and then removed 2.
Choice C is incorrect because the patch should not be applied to a hairy area of the skin for better adherence.
Instead, it should be applied to an area with little or no hair 1.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today