Chapter 17: Hematologic Products

Chapter 17: Hematologic Products

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. What is the purpose of anticoagulant therapy?

a.	Thin the blood
b.	Lyse existing clots
c.	Increase viscosity of the blood
d.	Prevent new clot formation

 

 

ANS:  D

All anticoagulants prevent the formation of blood clots, or thrombi, by interfering with the complex clotting mechanism of blood and increasing the time it takes for blood to clot.

 

DIF:    Cognitive Level: Remember            REF:   pp. 346-347    OBJ:   2

TOP:   Anticoagulants                                KEY:  Nursing Process Step: N/A

MSC:  NCLEX: Physiological Integrity: Reduction of Risk Potential

 

2. After drawing up heparin from a vial, what is the next thing the nurse should do before giving this medication to the patient?

a.	Check the syringe size and needle again.
b.	Look at the color of the solution.
c.	Let another nurse check the dosage.
d.	Check the order one more time.

 

 

ANS:  C

Because of severe adverse effects if inaccurate doses are given, once the heparin is drawn into a syringe, double-check the dosage with another nurse.

 

DIF:    Cognitive Level: Apply                   REF:   p. 350             OBJ:   2

TOP:   Anticoagulants                                KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity

 

3. Which is an early indication of anticoagulant overdose?

a.	Abdominal pain
b.	Bleeding gums
c.	Low blood pressure
d.	Pallor

 

 

ANS:  B

An early sign of overdose is bleeding from the gums while brushing teeth.

 

DIF:    Cognitive Level: Understand            REF:   p. 353             OBJ:   4

TOP:   Anticoagulants                                KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Physiological Integrity

 

4. Which therapy could potentiate the effect of anticoagulants?

a.	Vitamin K
b.	Thiazide diuretics
c.	Nonsteroidal antiinflammatory analgesics
d.	Vitamin C

 

 

ANS:  C

Nonsteroidal antiinflammatory drugs (NSAIDs) will increase the risk of bleeding and hemorrhage in a patient receiving heparin.

 

DIF:    Cognitive Level: Understand            REF:   p. 347             OBJ:   2

TOP:   Drug Interactions with Anticoagulants                               KEY:  Nursing Process Step: N/A

MSC:  NCLEX: N/A

 

5. A 50-year-old male patient is started on aspirin (ASA) 80-mg tablets once daily as an antiplatelet agent. The nurse explains to this patient that ASA is the drug of choice for reducing the risk of which condition?

a.	Hemorrhagic stroke
b.	Ischemic stroke
c.	Gastric inflammation
d.	Cellular formation

 

 

ANS:  B

In men over 50 years of age, ASA is a drug of choice for reducing the risk of ischemic stroke. It plays no role in hemorrhagic stroke.

 

DIF:    Cognitive Level: Apply                   REF:   p. 345             OBJ:   2

TOP:   Antiplatelet Agents                         KEY:  Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity: Reduction of Risk Potential