A nurse is caring for a client who has a prescription for warfarin.
Which of the following laboratory tests should the nurse monitor?
Triiodothyronine
Blood urea nitrogen
Arterial blood gases
Prothrombin time
The Correct Answer is D
d. Prothrombin time.
Explanation:
Warfarin is an anticoagulant medication that works by inhibiting the synthesis of vitamin K-dependent clotting factors in the liver. Therefore, it is important to monitor the client's clotting ability to ensure that the medication is working properly and not causing any adverse effects.
The laboratory test that is used to monitor warfarin therapy is the prothrombin time (PT), which measures the time it takes for the blood to clot. The nurse should monitor the client's PT regularly and adjust the dosage of warfarin as necessary to maintain the therapeutic range.
Option a (Triiodothyronine) is a thyroid hormone and is not directly related to warfarin therapy.
Option b (Blood urea nitrogen) is a measure of kidney function and is also not directly related to warfarin therapy.
Option c (Arterial blood gases) is a measure of oxygen and carbon dioxide levels in the blood and is not related to warfarin therapy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Reason:
Documenting the event in the client's progress notes is not the immediate action to take. While it's important to document significant events, the priority is to stop the unauthorized disclosure of the client's information and address the privacy breach.
Choice B Reason:
Informing the client of the APs' actions is not the initial step to take. The priority is to address the issue and stop the conversation to prevent further disclosure of confidential information. However, the client may need to be informed about the breach of privacy as part of the organization's protocol.
Choice C Reason:
Telling the APs to stop the conversation is correct. Overhearing discussions about a client's personal information by unauthorized personnel is a breach of patient privacy and confidentiality, which is a serious violation of healthcare ethics and regulations. Therefore, the nurse should address the situation immediately by telling the assistive personnel (APs) to stop the conversation. Here's why each option is appropriate or not:
Choice D Reason:
Submitting an incident report to the risk manager is an appropriate step to take but should not be the first action. The immediate concern is to address the situation and stop the unauthorized discussion. After that, the incident should be documented and reported according to the facility's policies and procedures.
Correct Answer is B
Explanation
Choice A Reason:
Discontinuing music therapy when the client is no longer responsive is not necessary. Music therapy can continue to provide comfort and support even if the client is not responsive.
Choice B Reason:
"Music will distract my husband's awareness of the pain." This statement indicates an understanding of the potential benefits of music therapy for pain management. Music therapy can help distract individuals from their pain, reduce anxiety and stress, and enhance relaxation. It may not eliminate pain entirely but can provide a valuable complementary approach to pain management in hospice care.
Choice C Reason:
Playing music is not typically used to increase alertness in the context of pain management. Instead, it is often used to promote relaxation and reduce pain-related distress.
Choice D Reason:
Music therapy is not a replacement for medication in managing pain, especially breakthrough pain. Medication and music therapy can be used together as part of a comprehensive pain management plan in hospice care.
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