Practice Question
A client who has been anticoagulated with warfarin (Coumadin) has been admitted for gastrointestinal bleeding. The history and physical examination indicates that the client may have been taken too much warfarin. The nurse anticipates that client will receive which antidote?
Answer Choices:
Correct Answer:
Vitamin K
Rationale:
✴️ Vitamin K is the antidote to warfarin (Coumadin) overdose or excessive anticoagulation.
✴️ It promotes the synthesis of clotting factors II, VII, IX, and X in the liver.
✴️ Its use reverses the elevated INR, reducing the risk of active bleeding.
✴️ In clients with GI bleeding, urgent reversal prevents further blood loss.
✴️ Protamine sulfate is used for heparin—not warfarin—making vitamin K the correct therapy.
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This question is from Med sur 2 Exam-ICHS which contains 55 questions.
More Questions from This Exam
While working in the outpatient clinic, the nurse notes that the client has a history of intermittent claudication. Which statement by the client would support this information?
Answer Choices:
A. "My legs cramp when I walk more than a block."
B. "I get short of breath when I climb a lot of stairs."
C. "When I stand for too long, my feet start to swell."
D. "My fingers hurt when I go outside in cold weather."
The nurse is assessing a client who has been admitted to the intensive care unit (ICU) with hypertensive emergency. Which of the following is most important to report to the healthcare provider?
Answer Choices:
A. Urine output over 8 hours is 250 mL less than the fluid intake.
B. The client complains of a headache with a pain level 5 of 10 (0-10 scale).
C. The client cannot move there left arm or leg when asked to do so.
D. Tremors are noted when the client extends the arms.
Which information about continuous bladder irrigation will the nurse teach to a client who is being admitted for a transurethral resection of the prostate (TURP)?
Answer Choices:
A. Hydration and urine output are maintained by bladder irrigation.
B. Bladder irrigation prevents obstruction of the catheter after surgery.
C. Bladder irrigation decreases the risk of postoperative bleeding.
D. Antibiotics are infused continuously through the bladder irrigation.
A client admitted to a medical - surgical unit has a CBC with differential drawn. Lab results show a WBC count of 4000, with neutrophil segments at 5% and neutrophil bands at 5%. Based on these values what would the nurse do? Calculate the absolute neutrophil count
Answer Choices:
A. Place the client on bleeding precautions.
B. Place the client in a private room.
C. Document findings in the client's chart
D. Collect blood cultures and start antibiotics.
A client who has tested positive for the human immunodeficiency virus (HIV) antibodies is admitted to the hospital with Pneumocystis Jiroveci Pneumonia (PCP) and a CD4+ T - Cell count of less than 200 cells/ ul. Based on the diagnostic criteria established by the Centers of Disease Control and Prevention (CDC), which statement by the nurse is correct?
Answer Choices:
A. "The client meets the criteria for the chronic asymptomatic HIV infection phase."
B. "The clients CD4+ T cell count is within normal range."
C. "The client meets the criteria for the acute HIV infection phase."
D. "The client has developed Acquired Immunodeficiency Syndrome (AIDS)."
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: General Exams
- Domain: Medical-surgical📚
- Answer Choices: 4