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 B
Explanation
Choice A rationale: While a chest x-ray can provide useful information about the heart and lungs, it is not typically required before an elective cardioversion89.
Choice B rationale: A transesophageal echocardiogram is often performed before cardioversion to check for the presence of any clots in the heart891011.
Choice C rationale: An exercise stress test is not typically required before an elective cardioversion89.
Choice D rationale: A central line placement for thrombolytic medication administration is not typically required before an elective cardioversion89.
So, the correct answer is Choice B, after analyzing all choices.
Correct Answer is B
Explanation
Choice A rationale: Heparin is an anticoagulant, not typically used to treat dehydration due to diarrhea and vomiting4.
Choice B rationale: Sodium Chloride IV bolus is often used to treat dehydration, which can be caused by three days of watery stools and emesis5.
Choice C rationale: Atenolol is a beta-blocker, used to manage heart conditions, not dehydration4.
Choice D rationale: Verapamil is a calcium channel blocker, not typically used to treat dehydration4.
So, the correct answer is Choice B, after analyzing all choices.
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