Pre5 Vacc/Coag

The antidote for warfarin sodium (COUMADIN)is
A. aminocaproic acid (AMICAR).
B. acetylsalacylic acid (ASPIRIN).
C. protamine sulfate.
D. vitamin K.

A patient has a thrombus in a vein and requires immediate anticoagulation. This best drug to use for this is:
A. Warfarin (COUMADIN).     
B. Protamine sulfate.     
C. Vitamin K.     
D. Heparin (LIQUAEMIN).      

The effectiveness of a vaccine can be measured by:
A. Measuring the level of the vaccination in the blood.
B. Giving a large test booster dose of the vaccination
C. Measuring the amount of antibody in the blood
D. Giving a small test booster dose of the vaccination.

At 3 months old, which vaccinations should have been given?
A. varicellar, haemolphilus influenza, measles, mumps
B. measles, mumps, rubella, haemophilus influenza
C. hepatitis A and B, diptheria, varicella
D. diphtheria, tetanus, pertussis, haemophilus influenza, Hepatitis B, polio

A predictable side effect of either heparin (LIQUAEMIN) or warfarin (COUMADIN)is:
A. bronchospasm.
B. hypertension.
C. bleeding.
D. fatigue.

Knee surgery puts patients at higher risk for blood clots so discharge teaching must emphasize:
A. that coumadin therapy will eliminate blood clots in all cases so patients have nothing to fear.
B. avoiding lab draws because of the bleeding risk.
C. schedule routine lab draws to monitor the clotting time.
D. understanding that the heart rate will increase due to the blood thinning therefore flowing through the veins quicker.

If a person is experiencing a brain attack or stroke, as the advice nurse you advise the patient to:
A. take an aspirin and get transported immediately to the emergency department.
B. drive to the emergency room as soon as possible.
C. call the primary care doctor and make an urgent appointment.
D. take the blood pressure and if elevated, go to the emergency department.

The largest impact on world health includes hygiene and
A. patient education
B. vaccinations
C. private hospital rooms
D. antibiotics

It's the flu season and your best friend has a five year old daughter. She has concerns about her child getting the flu vaccine. You know CDC guidelines and suggest:
A. the mother wait and if the child develops the flu, then get the flu vaccine.
B. go to Wal Mart for the flu injection but give Tylenol first.
C. the child not get a flu immunization because she is to young.
D. the 5 year old receive the flu mist nasally if advised by her physician.

Health care workers are offered the Hepatitis B vaccination series. It is usually recommended:
A. to follow up with blood titers to ensure immunity has been achieved.
B. to get a booster shot every 5 years.
C. to decide if you want the oral vaccine or the injection.
D. to immunize only in larger medical centers because of increased risk.

Warfarin (COUMADIN)is an anaticoagulant that reaches therapeutic levels in:
A. minutes.
B. hours.
C. days.
D. weeks.

The main side effect of all anticoagulants is:
A. bleeding.
B. white blood cell clotting.
C. excessive red blood cell production.
D. activation of the clotting cascade.

It the flu season and your 53 year old mother decided to get a flu vaccine for the first time. You advise her to:
A. choose either injection or nasal spray because the patient is always right.
B. get the nasal mist because she is afraid of shots.
C. get the flu injection because people over 50 are required to get a dead virus only available by injection.
D. not worry about the flu vaccination because by now she has natural immunity.