A charge nurse is teaching a newly licensed nurse about administering heparin to a client. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

I will check the client's INR before administering the heparin

"I will apply pressure for 1 minute after the Injection

I will massage the site after the injecting the heparin

I will aspirate before administering the heparin

None

Answer and Explanation

The Correct Answer is B

A. I will check the client's INR before administering the heparin:
Checking the International Normalized Ratio (INR) is more relevant for monitoring the effects of warfarin, not heparin. Heparin is typically monitored by activated partial thromboplastin time (aPTT) or anti-Xa levels.
B. "I will apply pressure for 1 minute after the injection:"
Applying gentle pressure to the injection site for about 1 minute after administering heparin is appropriate to prevent bleeding or bruising. Since heparin is an anticoagulant, there's an increased risk of bleeding at the injection site.
C. I will massage the site after injecting the heparin:
Massaging the site after injecting heparin is not recommended. It can increase the risk of hematoma formation. After subcutaneous injection, it is generally advised to avoid massaging the site.
D. I will aspirate before administering the heparin:
Aspiration is not recommended when administering heparin subcutaneously, as it can increase the risk of tissue damage and bruising. The nurse should inject the heparin without aspirating.

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Correct Answer is B

Explanation

A. BUN 15 mg/dL (Blood Urea Nitrogen):
BUN is a measure of kidney function, and an elevated BUN may suggest impaired kidney function. However, it is not a specific marker for azathioprine adverse effects.
B. WBC 3,000/mm² (White Blood Cell count):
This is the correct answer. Azathioprine can suppress bone marrow function, leading to leukopenia (low white blood cell count). A WBC count of 3,000/mm² indicates a lower-than-normal white blood cell count, which can increase the risk of infection.
C. Hct 45% (Hematocrit):
Hematocrit measures the percentage of red blood cells in the blood. While it can be affected by various factors, it is not a specific marker for azathioprine adverse effects.
D. Platelets 250,000/mm²:
Platelets are involved in blood clotting, and a platelet count of 250,000/mm² is within the normal range. Azathioprine is not typically associated with adverse effects on platelet counts.

A. This medication should be taken on an empty stomach. B. Increase the amount of potassium in your diet. C. "Take the medication before going to bed D. "Weigh yourself on the same day each week

Correct Answer is B

Explanation

A. This medication should be taken on an empty stomach:
Furosemide can be taken with or without food. Taking it with food can help reduce stomach upset, so there is no requirement to take it on an empty stomach.
B. Increase the amount of potassium in your diet:
This is the correct answer. Furosemide is a loop diuretic that can lead to potassium loss through increased urine output. Supplementing potassium through diet or potassium supplements may be necessary to prevent hypokalemia.
C. Take the medication before going to bed:
Furosemide is often recommended to be taken earlier in the day to avoid disrupting sleep with increased urination during the night. Taking it before going to bed is not a typical recommendation.
D. Weigh yourself on the same day each week:
Regular monitoring of weight is important in clients taking diuretics, but it is typically recommended to weigh daily at the same time each day, not weekly.

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A charge nurse is teaching a newly licensed nurse about administering heparin to a client. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

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