A nurse in reviewing the laboratory data on a client who has a new prescription for heparin for treatment of a pulmonary embolism. Which of the following data should the nurse report to the provider?
Partial thromboplastin time (PTT) 65 seconds
Hematocrit 45%
White blood cell count 8.000/mm3
Platelets
The Correct Answer is A
A. Partial thromboplastin time (PTT) 65 seconds: The normal PTT range is typically between 25 to 35 seconds for patients not on anticoagulants. For a patient receiving heparin therapy, the therapeutic PTT range is usually 1.5 to 2.5 times the normal value, which translates to approximately 60 to 100 seconds. A PTT of 65 seconds is at the lower end of the therapeutic range and may require adjustment in dosage or closer monitoring, especially if there are concerns about achieving adequate anticoagulation for the treatment of a pulmonary embolism. It is important to report this value to the provider.
B. Hematocrit 45%: A hematocrit of 45% is within the normal range for adult females (38% to 47%) and males (40% to 54%). This value does not indicate any immediate concern related to heparin therapy or the treatment of a pulmonary embolism.
C. White blood cell count 8.000/mm³: A white blood cell count of 8,000/mm³ is within the normal range (4,500 to 11,000/mm³) and does not indicate any infection or inflammatory process that requires immediate reporting.
D. Platelets: The specific platelet count value is not provided. However, heparin therapy can lead to thrombocytopenia (low platelet count), so if the platelet count is below 150,000/mm³, it should be reported to the provider. Without the specific value, it is not possible to determine if this requires reporting.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Discard the dressing in the bedside trash receptacle: This option is inappropriate because it poses a risk of contamination and infection. Regular trash receptacles are not equipped to handle materials that may be contaminated with blood or infectious waste.
B. Enclose the dressing in a single clear plastic bag and discard in the bedside trash receptacle: While enclosing the dressing in a plastic bag is a step toward containment, discarding it in the regular trash still poses a contamination risk and is not compliant with infection control standards for hazardous materials.
C. Double-bag the dressing in clear bags and label it "biohazard": Although double-bagging and labeling would provide additional precautions, this method is not the standard practice for disposing of contaminated wound dressings. It is more appropriate to use designated biohazard containers for infectious waste rather than using bags.
D. Dispose of the dressing in a biohazardous waste container: This is the correct action. Biohazardous waste containers are specifically designed to safely dispose of materials that may be contaminated with blood, body fluids, or infectious agents. Proper disposal helps to prevent the spread of infection and ensures compliance with safety regulations in healthcare settings.
Correct Answer is C
Explanation
A. Prevents scarring by minimizing collagen production: Negative pressure wound therapy (NPWT) does not prevent scarring by minimizing collagen production. In fact, NPWT can stimulate collagen production as part of the wound healing process, which can contribute to scar formation.
B. Relieves pain by numbing the wound area: NPWT does not have a numbing effect on the wound area. While it may help promote a more comfortable healing environment, it does not directly relieve pain like local anesthetics or analgesics would.
C. Promotes wound healing by increasing blood flow to the wound: NPWT promotes wound healing by creating a negative pressure environment that helps draw excess fluid away from the wound, reduces edema, and stimulates blood flow to the area. This increased blood flow enhances the delivery of nutrients and oxygen necessary for the healing process, making this option correct.
D. Reduces the risk of infection by creating a sterile environment: While NPWT can help reduce the risk of infection by keeping the wound moist and removing excess exudate, it does not create a completely sterile environment. Proper wound care and dressing changes are still necessary to maintain cleanliness and prevent infection.
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