A patient had a deep vein thrombosis (DVT) and was on heparin and warfarin in the hospital and discharged home on warfarin. She asks her primary care nurse practitioner (NP) why she was getting both medications while in the hospital. The best response is to:

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Hematological drugs Questions

Question 1 of 5

A patient had a deep vein thrombosis (DVT) and was on heparin and warfarin in the hospital and discharged home on warfarin. She asks her primary care nurse practitioner (NP) why she was getting both medications while in the hospital. The best response is to:

A. Contact the hospitalist as this is not the normal guideline for prescribing these two medications and she may have had a more complicated case. B. Explain that warfarin is often started while a patient is still on heparin because warfarin takes a few days to reach effectiveness. C. Encourage the patient to contact the customer service department at the hospital, as this was most likely a medication error during her admission. D. Draw anticoagulation studies to make sure she does not have dangerously high bleeding times.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

Patient education when prescribing clopidogrel includes:

A. Do not take any herbal products without first discussing this with the provider. B. Monitor urine output closely and contact the provider if it decreases. C. Clopidogrel can be constipating; use a stool softener if needed. D. The patient will need regular anticoagulant studies while on clopidogrel.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

The routine monitoring recommended for low-molecular-weight heparin is:

A. INR every two days until stable, then weekly B. Activated partial thromboplastin time (aPTT) every week while on therapy C. Factor Xa levels if the patient is pregnant D. White blood cell count every 2 weeks

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

Patients who are being treated with epoetin alfa need to be monitored for the development of:

A. Thrombocytopenia B. Neutropenia C. Hypertension D. Gout

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

Monitoring for a patient prescribed iron for iron deficiency anemia includes:

A. Reticulocyte count one week after therapy is started B. Complete blood count every two weeks throughout therapy C. Hemoglobin level at one week of therapy D. INR weekly throughout therapy

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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