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?

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?

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?

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?

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?

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