Welcome aspiring nurses! As you gear up to conquer the NCLEX, understanding how to answer NCLEX questions on the Anticoagulant Therapy and Protime is paramount to your success. Let’s get started.
Questions: A nurse is caring for a patient receiving warfarin therapy. The latest INR (International Normalized Ratio) result is 2.8. What action should the nurse take? a) Administer a higher dose of warfarin. b) Hold the next dose of warfarin. c) Administer vitamin K to reverse the effects. d) Encourage the patient to eat more green leafy vegetables. e) Discontinue warfarin therapy.
Correct Answer: b) Hold the next dose of warfarin.
@qbankproacademy 4000+ Free NCLEX QUESTIONS. Go to QBankProAcademy.com FREE Qbank questions for NCLEX RN, PN, HESI Exit, Med Surg, AANP, ANCC, and HesiA2. Practice questions, quizzes, and listen to the Free Podcast. In this video, we review a question on PT/INR, and protime Nursing Care. At QbankproAcademy.com our mission is to provide free QBanks, videos, and the most up to date test prep information for nurses. If you find our website helpful, please tell other aspiring nurses, nursing students, and professors. Please link to our site from your blogs, videos, and college websites, or share us on your favorite social media sites. Thank you for your support! Free nursing NCLEX 60-DAY CHALLENGE https://qbankpro.thinkific.com/courses/qbankpro-academy nclex Nurses Nursing aanp qbank ancc hesi medsurg qbank
Start the 60-Day NCLEX Challenge
Rationale: An INR of 2.8 indicates that the patient’s blood is more anticoagulated than the target range. Holding the next dose of warfarin is appropriate to prevent further anticoagulation and reduce the risk of bleeding complications.
4000 Free NCLEX Questions
A client with a history of atrial fibrillation is receiving heparin therapy. The nurse assesses the protime and notes it is elevated. What action should the nurse take? a) Administer a higher dose of heparin. b) Administer vitamin K to reverse the effects. c) Discontinue heparin therapy. d) Notify the healthcare provider. e) Encourage the client to increase fluid intake.
Correct Answer: d) Notify the healthcare provider.
Rationale: An elevated protime while on heparin therapy may indicate a potential issue with anticoagulation. Notifying the healthcare provider is crucial to evaluate and adjust the treatment plan accordingly.
Free NCLEX Q-Bank 1400 Q&A
A patient is prescribed warfarin for deep vein thrombosis. The nurse educates the patient on dietary considerations. Which statement by the patient indicates a need for further teaching? a) “I should limit my intake of green leafy vegetables.” b) “I need to maintain a consistent intake of foods rich in vitamin K.” c) “I can enjoy moderate amounts of foods high in vitamin K.” d) “I should avoid sudden changes in my diet.” e) “I will monitor my INR regularly at home.”
Correct Answer: a) “I should limit my intake of green leafy vegetables.”
Rationale: While on warfarin, patients are advised to maintain a consistent intake of vitamin K-containing foods, including green leafy vegetables, to keep their INR stable. Limiting intake may lead to unpredictable changes in anticoagulation.
NCLEX Questions Critical Thinking: Anticoagulant Therapy, Protime Symptoms
A nurse is caring for a patient on long-term warfarin therapy for atrial fibrillation. The latest INR (International Normalized Ratio) result is 1.5. What action should the nurse take? a) Administer a higher dose of warfarin. b) Continue the current warfarin dose. c) Hold the next dose of warfarin. d) Administer vitamin K to reverse the effects. e) Encourage the patient to consume more green leafy vegetables.
Correct Answer: a) Administer a higher dose of warfarin.
Rationale: An INR of 1.5 indicates suboptimal anticoagulation, and the dose of warfarin may need adjustment to achieve the target therapeutic range for conditions like atrial fibrillation, typically between 2.0 and 3.0.
1000 Medical-Surgical Questions
NCLEX Review: Anticoagulant Therapy, Protime Treatments
A patient receiving heparin therapy for deep vein thrombosis has a significantly prolonged protime. What should the nurse do first? a) Administer a higher dose of heparin. b) Administer vitamin K to reverse the effects. c) Hold the next dose of heparin. d) Encourage the patient to ambulate more frequently. e) Notify the healthcare provider.
Correct Answer: e) Notify the healthcare provider.
Rationale: A significantly prolonged protime during heparin therapy may indicate a risk of bleeding. Notifying the healthcare provider is crucial to assess and adjust the treatment plan promptly.
Free NCLEX Practice Exam, Start Now
NCLEX Focus Exploring Anticoagulant Therapy, Protime: Causes and Diagnosis
A patient with a mechanical heart valve is on warfarin therapy. The INR result is 4.2. What action should the nurse take? a) Continue the current warfarin dose. b) Administer vitamin K to reverse the effects. c) Hold the next dose of warfarin. d) Increase the frequency of INR monitoring. e) Administer a lower dose of warfarin.
Correct Answer: c) Hold the next dose of warfarin.
Rationale: An INR of 4.2 indicates over-anticoagulation and an increased risk of bleeding. Holding the next dose of warfarin is appropriate to prevent further elevation and reduce the risk of bleeding complications in patients with mechanical heart valves.
NCLEX Questions: Focus on Medications for Anticoagulant Therapy, Protime
A nurse is caring for a postoperative patient who is receiving warfarin for prophylaxis against deep vein thrombosis. The latest INR result is 3.5. What action should the nurse take? a) Administer a higher dose of warfarin. b) Continue the current warfarin dose. c) Hold the next dose of warfarin. d) Administer vitamin K to reverse the effects. e) Encourage the patient to consume more green leafy vegetables.
Correct Answer: c) Hold the next dose of warfarin.
Rationale: An INR of 3.5 indicates an increased risk of bleeding. Holding the next dose of warfarin is appropriate to prevent further elevation and reduce the risk of bleeding complications in the postoperative period.
NCLEX Practice Questions: Understanding Anticoagulant Therapy, Protime Causes and Symptoms
A patient with atrial fibrillation is receiving heparin therapy in the hospital. The protime is found to be within the therapeutic range. What is the nurse’s best action? a) Administer a higher dose of heparin. b) Hold the next dose of heparin. c) Administer vitamin K to reverse the effects. d) Continue the current heparin dose. e) Notify the healthcare provider.
Correct Answer: d) Continue the current heparin dose.
Rationale: A protime within the therapeutic range indicates appropriate anticoagulation. Continuing the current heparin dose is essential to maintain the therapeutic effect and prevent thromboembolic events in conditions like atrial fibrillation.
Understanding Anticoagulant Therapy, Protime: Causes and Symptoms
A patient on long-term warfarin therapy for a history of pulmonary embolism has an INR result of 1.8. What action should the nurse take? a) Administer a higher dose of warfarin. b) Continue the current warfarin dose. c) Hold the next dose of warfarin. d) Administer vitamin K to reverse the effects. e) Encourage the patient to consume more green leafy vegetables.
Correct Answer: a) Administer a higher dose of warfarin.
Rationale: An INR of 1.8 indicates suboptimal anticoagulation. Administering a higher dose of warfarin is necessary to achieve the target therapeutic range and prevent recurrence of pulmonary embolism.
Understanding the Anticoagulant Therapy, Protime: NCLEX Delegation Questions
A patient with a mechanical heart valve is on warfarin therapy. The protime result is 2.5. What action should the nurse take? a) Continue the current warfarin dose. b) Administer vitamin K to reverse the effects. c) Hold the next dose of warfarin. d) Increase the frequency of protime monitoring. e) Administer a lower dose of warfarin.
Correct Answer: a) Continue the current warfarin dose.
Understanding the Anticoagulant Therapy, Protime: NCLEX Priority Questions
Rationale: A protime result of 2.5 is within the therapeutic range for mechanical heart valve patients. Continuing the current warfarin dose is appropriate to maintain anticoagulation and prevent thromboembolic events in this population.