A client is receiving heparin therapy as part of the treatment for a pulmonary embolism. The nurse monitors the results of which laboratory test to check the drug's effectiveness?

Bleeding times

Vitamin K levels

Activated partial thromboplastin time (aPTT)

Prothrombin time/international normalized ratio (PT/INR)

Answer and Explanation

The Correct Answer is C

Aptt is sensitive to heparin and hence use to monitor the therapeutic effects. This helps to ensure that the drug exert if therapeutic effects with increasing the risk of bleeding due to overdose.
A. Bleeding times is a test used to screen for bleeding disorders
B and D are not used for monitoring

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Correct Answer is D

Explanation

aminoglycosides are excreted in the kidney and accumulation may lead to renal tubular necrosis
A, B, C are not effects of aminoglycosides

A. A client who is about to have surgery B. A client who has suddenly developed symptomatic tachycardia with a heart rate of 180 beats/min C. A client newly diagnosed with myasthenia gravis D. A client who has suddenly developed symptomatic bradycardia with a heart rate of 32 beats/min E. A client with severe narrow-angle glaucoma

Correct Answer is ["A","D"]

Explanation

A. Atropine sulfate reduce the production of bronchial secretions leading to easy intubation. This reduction in airway secretion ensures smooth intubation
D. Atropine is an anticholinergic that binds on to the muscarinic receptors on the heart to produce block the parasympathetic impulses. This mechanism is used to manage bradycardia
B. Tachycardia is managed through vagal maneuvers if stable and cardioversion or antiarrhythmics
C. Myasthenia gravis is managed using acetylcholinesterase inhibitors
E. Cholinergic agonists are used in narrow angle glaucoma

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A client is receiving heparin therapy as part of the treatment for a pulmonary embolism. The nurse monitors the results of which laboratory test to check the drug's effectiveness?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which problem may occur in a client who has started aminoglycoside therapy?

Correct Answer is D

Explanation

The nurse is reviewing the indications for atropine sulfate. Atropine is appropriate for which of these clients? (Select all that apply.)

Correct Answer is ["A","D"]

Explanation

A nurse is providing teaching to a client who has asthma and a new prescription for inhaled beclomethasone. Which of the following instructions should the nurse provide?

When monitoring a client who is taking a cholinergic drug, the nurse will watch for which cardiovascular effect?

A client who has had abdominal surgery has been discharged on a cholinergic drug to assist in increasing gastrointestinal peristalsis. The nurse will teach this client to look for which therapeutic effect?

When teaching a client who is beginning antilipemic therapy about possible drug-food interactions, the nurse will discuss which food?

A client will be discharged with a 1 week supply of an opioid analgesic for pain management after abdominal surgery. The nurse will include which information in the teaching plan?

Before administering any medication, what is the nurse's priority action regarding client safety?

A nurse is caring for a client who has thrombophlebitis and is receiving heparin by continuous IV infusion. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse give?

A nurse is caring for a male client who has peripheral vascular disease (PVC)), is taking dietary supplements, and has a new prescription for warfarin. The nurse should instruct the client to stop which of the following supplements prior to starting the warfarin? (Select all that apply.)