A client with a new diagnosis of atrial fibrillation is receiving a continuous infusion of heparin. Which finding will the nurse report immediately?
Concurrent use of acetaminophen for pain.
An activated partial thromboplastin time (aPTT) of 80 seconds.
An international normalized ratio (INR) of 0.8.
Evidence of dark, tarry stools.
The Correct Answer is B
a) Concurrent use of acetaminophen is not directly related to heparin therapy for atrial fibrillation. It may need attention but does not warrant immediate reporting.
b) An aPTT of 80 seconds is significantly prolonged and may indicate a risk of bleeding due to excessive anticoagulation. This finding requires immediate notification to the healthcare provider.
c) An INR of 0.8 is within the normal range and does not pose an immediate concern in the context of heparin infusion.
d) Dark, tarry stools could indicate gastrointestinal bleeding but may not be directly related to heparin therapy. It sho
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Alcohol use, even before the client knew she was pregnant, may have some impact, but it is not the primary concern immediately after delivery.
B) Intravenous morphine administration during labor can lead to respiratory depression in the newborn, and monitoring is crucial. Naloxone may be needed to reverse opioid effects.
C) A high-pitched cry and irritability may be signs of opioid withdrawal, not related to the alcohol use.
D) Administering opioids to the infant is not appropriate and could worsen any respiratory depression.
Correct Answer is D
Explanation
a) Amlodipine is a calcium channel blocker and is less likely to cause angioedema compared to ACE inhibitors like captopril.
b) Budesonide is a corticosteroid and is not typically associated with angioedema.
c) Simvastatin is a statin and is not known to cause angioedema.
d) Captopril is an ACE inhibitor, and angioedema is a known adverse effect. In the presence of localized swelling of the lips and tongue, discontinuation of captopril is likely indicated.
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