A nurse is caring for a client who has a thrombus and is receiving a continuous infusion of heparin. 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 make?
"The time it takes for heparin to dissolve a clot depends on the size of the clot.".
"The time it takes for heparin to dissolve a clot varies between clients.".
"Usually, it takes at least 2 to 3 days for heparin to dissolve a clot.".
"Heparin prevents new clots from forming rather than dissolving existing ones.".
The Correct Answer is D
Heparin is an anticoagulant that is used to decrease the clotting ability of the blood and help prevent harmful clots from forming in blood vessels 1.
However, heparin will not dissolve blood clots that have already formed, but it may prevent the clots from becoming larger and causing more serious problems 12.
Choices A, B, and C are incorrect because heparin does not dissolve existing clots. Instead, it works to prevent new clots from forming 12.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Insulin lispro is a fast-acting insulin that starts to work about 15 minutes after injection, peaks in about 1 hour, and keeps working for 2 to 4 hours1.
Therefore, it should be injected 15 minutes before a meal2.
Choice B is incorrect because polyuria (frequent urination) is a symptom of high blood sugar levels, not a direct result of insulin lispro injection.
Choice C is incorrect because checking the expiration date should be done before administering any medication, not after.
Choice D is incorrect because insulin lispro should be administered using a clean syringe and proper hygiene practices should be followed to prevent infection.
Correct Answer is D
Explanation
Patients have the right to access their medical records and review them with their healthcare provider.
The nurse should set up a time for the client to meet with their provider to go over their medical record.
Choice A is not correct because patients do not need to submit a written request for access to their medical records.
Choice B is not correct because patients do not have to wait until discharge to review their medical records.
Choice C is not correct because it is not appropriate for the nurse to deny the patient’s request to review their medical record.
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