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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale: A client newly diagnosed with myocardial infarction would require a nurse with more experience due to the complexity and potential instability of the condition678910.
Choice B rationale: A client complaining of crushing chest pain could be experiencing a serious condition such as a myocardial infarction. This client would require a nurse with more experience678910.
Choice C rationale: A client scheduled for a cardiac catheterization and requires patient teaching would be an appropriate assignment for a new graduate nurse. This client is stable and the task of patient teaching is within the scope of a new graduate678910.
Choice D rationale: A client admitted with unstable angina would require a nurse with more experience due to the potential for rapid changes in the client’s condition678910.
So, the correct answer is C, after analysing all choices.
Correct Answer is A
Explanation
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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