Practice Question
Which medication, when noted in a patient’s history, will diminish the effects of Warfarin (Coumadin)?
Answer Choices:
Correct Answer:
Yaz (drospirenone/estradiol) as an oral contraceptive.
Rationale:
♦ Oral contraceptives containing estrogen may increase clotting risk and reduce warfarin effectiveness.
♦ Estrogen stimulates coagulation factors, opposing warfarin’s anticoagulant action.
♦ This can lead to subtherapeutic INR levels, putting the patient at risk for thromboembolic events.
♦ Nurses must monitor for drug interactions with warfarin due to its narrow therapeutic index.
♦ Providers may consider an alternative contraceptive or adjust the warfarin dosage.
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This question is from Med Surg 2 Miami Regional University which contains 88 questions.
More Questions from This Exam
A nurse is preparing a client for a scheduled Percutaneous Coronary Intervention (PCI). Which statement made by the client should the nurse report to the Primary Healthcare Provider (PHCP)?
Answer Choices:
A. “I am allergic to shellfish.”.
B. “I may feel a warm sensation during the procedure.”.
C. “I get anxious when I am in closed spaces.”.
D. “I took my metformin this morning.”.
What should a nurse inquire about from a patient with a past history of Deep Vein Thrombosis (DVT) and other vascular issues?
Answer Choices:
A. Recurring chest pain.
B. A peptic ulcer.
C. An aneurysm.
D. Rheumatoid arthritis.
What is the primary pathophysiological reason for performing Coronary Artery Bypass Surgery?
Answer Choices:
A. To reduce overall contractility of the heart muscle.
B. To reduce plaque buildup in the carotid artery.
C. To increase oxygen supply to the heart muscle.
D. To increase the myocardial workload.
A nurse is caring for a patient who has undergone an angiogram. What should the nurse prioritize in assessing and documenting for this patient?
Answer Choices:
A. Inquiring about an allergy to iodine.
B. Checking peripheral pulses in the affected leg.
C. Monitoring for decreased blood pressure.
D. Tracking fluid intake.
An older patient with chronic atrial fibrillation develops sudden severe pain, pulselessness, pallor, and coolness in the right leg, consistent with acute arterial occlusion. After the nurse notifies the healthcare provider, what should the nurse do next?
Answer Choices:
A. Elevate the leg above the level of the heart.
B. Assist the patient in gently exercising the leg.
C. Apply a compression stocking to the leg.
D. Keep the patient in bed in the supine position.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: General Exams
- Domain: Medical-surgical📚
- Answer Choices: 4
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