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

"Heparin does not dissolve clots. It stops new clots from forming"

"Heparin will begin dissolving clots over the next 24 hours

"A pharmacist would be a better fit to answer that question.

"It usually takes heparin at least 3 to 4 days to reach a therapeutic blood level."

Answer and Explanation

The Correct Answer is A

Choice A rationale: Heparin is an anticoagulant that prevents new clots from forming but does not dissolve existing clots23.

Choice B rationale: Heparin does not directly dissolve clots23.

Choice C rationale: While a pharmacist can provide medication information, it is incorrect to say they would be a better fit to answer this question as nurses are trained in medication education23.

Choice D rationale: While it’s true that it takes time for heparin to reach a therapeutic blood level, this statement could be misleading because heparin does not dissolve clots23.

So, the correct answer is Choice A, after analysing all choices.

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Correct Answer is A

Explanation

Choice A rationale: Nitroglycerin tablets are typically taken sublingually (under the tongue) at the onset of chest pain. If the pain is not relieved, a second tablet may be taken 5 minutes after the first. If the pain continues for another 5 minutes, a third tablet may be used123.

Choice B rationale: Nitroglycerin tablets are not typically taken with water. They are designed to dissolve under the tongue for quick absorption into the bloodstream1.

Choice C rationale: Nitroglycerin is not typically taken after each meal and at bedtime. It is used as needed to relieve chest pain1.

Choice D rationale: While nitroglycerin can be taken every 5 minutes up to three times during an acute angina attack, it is not typically recommended to take one tablet every 10 minutes1.

So, the correct answer is A, after analysing all choices.

A. Administer amiodarone B. Prepare to defibrillation C. Prepare for Synchronized Cardioversion D. Administer epinephrine

Correct Answer is B

Explanation

Choice A rationale: While amiodarone is a medication used in the treatment of ventricular fibrillation, it is not the immediate priority in an unresponsive client34.

Choice B rationale: The immediate priority in a client who goes into ventricular fibrillation and is unresponsive is to prepare for defibrillation. This is a life-saving measure that can restore a normal heart rhythm34.

Choice C rationale: Synchronized cardioversion is not the immediate priority in a client who goes into ventricular fibrillation and is unresponsive34.

Choice D rationale: While epinephrine is a medication used in the treatment of ventricular fibrillation, it is not the immediate priority in an unresponsive client34.

So, the correct answer is B, after analysing all choices.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client with angina pectoris about starting therapy with nitroglycerin tablets. The nurse should include which of the following instructions regarding how to take the medication?

Correct Answer is A

Explanation

A client on the cardiac telemetry unit goes into Ventricular fibrillation and is unresponsive. Following initiation of the emergency call system (code blue), what is the next priority for the nurse in caring for the client?

Correct Answer is B

Explanation

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