Anticoagulation Therapy Quiz

The primary purpose of anticoagulation during hemodialysis is to

• lower blood glucose.

• reduce dialysis duration.

• increase blood pressure.

• prevent clot formation in the extracorporeal circuit.

A patient on low-molecular-weight heparin develops signs of bleeding. The most appropriate nursing intervention is

• administer vitamin K.

• increase the dialysis rate.

• continue dialysis and monitor.

• stop heparin and inform the physician.

The contraindication for standard heparin use during dialysis is

• hypertension

• hyperkalemia

• hypocalcemia

• Heparin-induced thrombocytopenia (HIT)

A dialysis nurse is preparing anticoagulation therapy for a patient with high bleeding risk. The best strategy for this patient is to

• use full-dose heparin

• use warfarin before dialysis

• avoid anticoagulation altogether

• use regional citrate anticoagulation

While managing a patient on heparin during dialysis, the nurse notices clot formation in the circuit. The best course of action is to

• increase blood flow rate

• add aspirin to the treatment

• stop the dialysis session immediately

• evaluate heparin dosing and consider increasing bolus or infusion rate