A client is on a blood thinner medication and requires weekly INR values. The nurse expects to see an INR of 2-2.5 times the normal range so she would anticipate what value:
below 1.0
1.0-2.0
above 3.0
2.0-3.0
The Correct Answer is D
A. Below 1.0: Too low, indicating inadequate anticoagulation, increasing the risk of clot formation.
B. 1.0-2.0: Subtherapeutic, meaning the medication is not effectively preventing clot formation.
C. Above 3.0: Too high, increasing the risk of bleeding complications
D. 2.0-3.0: The normal INR (International Normalized Ratio) for a client not on anticoagulants is 0.8-1.2. For clients on warfarin or other blood thinners, the target therapeutic range is typically 2.0-3.0, which reduces the risk of blood clots while minimizing the risk of bleeding. Some conditions, such as mechanical heart valves, may require a higher target range (2.5-3.5).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Distribution: Distribution refers to the movement of the drug from the bloodstream to tissues and organs. Poor circulation can impair drug distribution, leading to reduced effectiveness or toxic accumulation.
B. Excretion: Excretion is the elimination of drugs, primarily through the kidneys. While circulation plays a role, excretion is more directly affected by renal function.
C. Metabolism: Metabolism occurs primarily in the liver and is not the primary concern in a client with poor circulation.
D. Absorption: Absorption refers to how the drug enters the bloodstream, which is more dependent on the GI tract (oral meds) or injection site (IV, IM meds) rather than circulation.
Correct Answer is D
Explanation
A. Below 1.0: Too low, indicating inadequate anticoagulation, increasing the risk of clot formation.
B. 1.0-2.0: Subtherapeutic, meaning the medication is not effectively preventing clot formation.
C. Above 3.0: Too high, increasing the risk of bleeding complications
D. 2.0-3.0: The normal INR (International Normalized Ratio) for a client not on anticoagulants is 0.8-1.2. For clients on warfarin or other blood thinners, the target therapeutic range is typically 2.0-3.0, which reduces the risk of blood clots while minimizing the risk of bleeding. Some conditions, such as mechanical heart valves, may require a higher target range (2.5-3.5).
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