A Unique Quiz On Antiplatelet Drugs

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A Unique Quiz On Antiplatelet Drugs - Quiz

Antiplatelet drugs, such as aspirin, prevent blood cells called platelets from clumping together to form a clot. Patients who require the use of antiplatelet drugs could have suffered a stroke or have a heart surgery. The unique quiz below tests out how much you know about these types of medication. Try it!

Questions and Answers

1.

Which statement correctly describes how antiplatelet medications work? Antiplatelet medications:
- A.
  
  Dissolve clots in the bloodstream and vessels
- B.
  
  Dilate the blood vessels to decrease clotting
- C.
  
  Slow platelet creation in the liver
- D.
  
  Decrease platelet clumping in the vessels
Correct Answer
D. Decrease platelet clumping in the vessels

Explanation
Antiplatelet medications decrease platelet "aggregation" or clumping. They do NOT dissolve existing clots - thrombolytics ("clot-busters") do that.

LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-Surgical Nursing: Critical Thinking in Patient Care, 5th ed., San Francisco: Pearson. p.927.

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1
2.

Which one of these can be used concurrently (at the same time) with warfarin (Coumadin)?
- A.
  
  Aspirin
- B.
  
  Clopidogrel (Plavix)
- C.
  
  Dipyramidole (Persantine)
- D.
  
  Ticlopidine (Ticlid)
Correct Answer
C. Dipyramidole (Persantine)

Explanation
Only Dipyramidole (Persantine) can be taken at the same time as coumadin.

LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-Surgical Nursing: Critical Thinking in Patient Care, 5th ed., San Francisco: Pearson. p.927.

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2
3.

Which one of these should be taken with food?
- A.
  
  Aspirin
- B.
  
  Clopidogrel (Plavix)
- C.
  
  Dipyramidole (Persantine)
- D.
  
  Ticlopidine (Ticlid)
Correct Answer
A. Aspirin

Explanation
Aspirin should be taken with food to avoid GI irritation, GI bleeds, etc.

LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-Surgical Nursing: Critical Thinking in Patient Care, 5th ed., San Francisco: Pearson. p.927.

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3
4.

What herbal remedies also possess anti-platetelet characteristics, and should not be taken with anti-platelet medications unless directed by a physician? Select all that apply.
- A.
  
  Garlic
- B.
  
  Gingko biloba
- C.
  
  Grapeseed extract
- D.
  
  Evening primrose oil
- E.
  
  Feverfew
Correct Answer(s)
A. Garlic
B. Gingko biloba
C. Grapeseed extract
D. Evening primrose oil
E. Feverfew

Explanation
ALL of them! They can ALL reduce platelet clumping - together with antiplatelet meds, you have a very high risk of bleeding.

LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-Surgical Nursing: Critical Thinking in Patient Care, 5th ed., San Francisco: Pearson. p.927.

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1
5.

Which of the following symptoms should be reported to a physician ASAP when using antiplatelet medications? Select all that apply.
- A.
  
  Unusual bruising
- B.
  
  Excessive bleeding
- C.
  
  Nausea
- D.
  
  New left-sided facial droop
Correct Answer(s)
A. Unusual bruising
B. Excessive bleeding
D. New left-sided facial droop

Explanation
Report any signs of unusual bruising, excessive bleeding, or changes in level of consciousness/stroke symptoms immediately. The new left-sided facial droop could be a symptom of stroke, and these medications can cause hemorrhagic stroke.

LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-Surgical Nursing: Critical Thinking in Patient Care, 5th ed., San Francisco: Pearson. p.927.

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2
6.

True or False: While on antiplatelet medications, patients should expect to see increased bruising, petechiae, purpura, and bright red blood in their stool. These are not abnormal findings, and do not need to be reported to the physician.
- A.
  
  True
- B.
  
  False
Correct Answer
B. False

Explanation
False - these are all signs of excessive bleeding, and the physician will stop the antiplatelet medication, and the patient may need to be evaluated.

LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-Surgical Nursing: Critical Thinking in Patient Care, 5th ed., San Francisco: Pearson. p.927.

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1
7.

True or False: IV antiplatelet drugs are better at preventing platelet aggregation than the oral meds are, and carry a higher risk of bleeding.
- A.
  
  True
- B.
  
  False
Correct Answer
A. True

Explanation
True - they are better at what they do, and they also carry a higher risk of bleeding.

LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-Surgical Nursing: Critical Thinking in Patient Care, 5th ed., San Francisco: Pearson. p.927.

Rate this question:

3
8.

Which of the following MUST be monitored when a patient is receiving IV antiplatelet therapy? Select all that apply.
- A.
  
  Hemoglobin
- B.
  
  Hematocrit
- C.
  
  Platelet count
- D.
  
  PT/PTT/INR
- E.
  
  Vital signs
- F.
  
  Urine output
- G.
  
  ECG
- H.
  
  BUN/Cr
- I.
  
  Liver function tests
- J.
  
  Intracranial pressure
Correct Answer(s)
A. Hemoglobin
B. Hematocrit
C. Platelet count
D. PT/PTT/INR
E. Vital signs
G. ECG

Explanation
During IV antiplatelet therapy, you must monitor Hgb/Hct, platelet count, PT/PTT/INR, vitals and ECG rhythm.

LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-Surgical Nursing: Critical Thinking in Patient Care, 5th ed., San Francisco: Pearson. p.927.

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2
9.

Which of the following would you need to inquire about, before starting a patient on any antiplatelet medication? Select all that apply.
- A.
  
  History of brain hemorrhage or hemorrhagic stroke
- B.
  
  GI bleeding
- C.
  
  Peptic ulcer disease
- D.
  
  Known bleeding tendence
- E.
  
  Recent trauma/surgery
Correct Answer(s)
A. History of brain hemorrhage or hemorrhagic stroke
B. GI bleeding
C. Peptic ulcer disease
D. Known bleeding tendence
E. Recent trauma/surgery

Explanation
ALL of them! They are all huge RED FLAGS when starting antiplatelet medication.

LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-Surgical Nursing: Critical Thinking in Patient Care, 5th ed., San Francisco: Pearson. p.927.

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1
10.

Which of the following is NOT an IV antiplatelet medication?
- A.
  
  Abciximab (ReoPro)
- B.
  
  Eptifibatide (Integrillin)
- C.
  
  Tirofiban (Aggrastat)
- D.
  
  Heparin
Correct Answer
D. Heparin

Explanation
Heparin is an ANTI-COAGULANT. All the others are antiplatelet medications.

LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-Surgical Nursing: Critical Thinking in Patient Care, 5th ed., San Francisco: Pearson. p.927.

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2
11.

After stopping IV antiplatelet medication, how long does it take for bleeding risk to return to normal?
- A.
  
  24 hours
- B.
  
  48 hours
- C.
  
  72 hours
- D.
  
  96 hours
Correct Answer
B. 48 hours

Explanation
It takes 2 days (48 hours) for bleeding risk to return to normal after stopping IV antiplatelet medications.

LeMone, P., Burke, K., & Bauldoff, G. (2011). Medical-Surgical Nursing: Critical Thinking in Patient Care, 5th ed., San Francisco: Pearson. p.927.

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2

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Current Version
Mar 22, 2023

Quiz Edited by
ProProfs Editorial Team
Mar 29, 2013

Quiz Created by
Mamatomaddy

A Unique Quiz On Antiplatelet Drugs

Which statement correctly describes how antiplatelet medications work? Antiplatelet medications:

Which one of these can be used concurrently (at the same time) with warfarin (Coumadin)?

Which one of these should be taken with food?

What herbal remedies also possess anti-platetelet characteristics, and should not be taken with anti-platelet medications unless directed by a physician? Select all that apply.

Which of the following symptoms should be reported to a physician ASAP when using antiplatelet medications? Select all that apply.

True or False: While on antiplatelet medications, patients should expect to see increased bruising, petechiae, purpura, and bright red blood in their stool. These are not abnormal findings, and do not need to be reported to the physician.

True or False: IV antiplatelet drugs are better at preventing platelet aggregation than the oral meds are, and carry a higher risk of bleeding.

Which of the following MUST be monitored when a patient is receiving IV antiplatelet therapy? Select all that apply.

Which of the following would you need to inquire about, before starting a patient on any antiplatelet medication? Select all that apply.

Which of the following is NOT an IV antiplatelet medication?

After stopping IV antiplatelet medication, how long does it take for bleeding risk to return to normal?