A nurse is evaluating the laboratory results of four clients. The nurse should report which of the following laboratory results to the provider?
A client who has a prescription for heparin and an aPTT of 90 seconds (30-40 seconds).
A client who has a prescription for warfarin and an INR of 2.0 (0.8 to 1.1).
A client who has a prescription for heparin and an aPTT of 65 seconds (30-40 seconds).
A client who has a prescription for warfarin and an INR of 3.0 (0.8 to 1.1).
The Correct Answer is A
A. A client who has a prescription for heparin and an aPTT of 90 seconds (30-40 seconds).: This is significantly elevated and indicates a risk for bleeding, as the therapeutic range for heparin is typically 1.5–2.5 times the normal value.
B. A client who has a prescription for warfarin and an INR of 2.0 (0.8 to 1.1): This is within the therapeutic range for most conditions treated with warfarin (e.g., 2.0–3.0).
C. A client who has a prescription for heparin and an aPTT of 65 seconds (30-40 seconds): This is slightly elevated but still within the therapeutic range for heparin (typically 60–80 seconds).
D. A client who has a prescription for warfarin and an INR of 3.0 (0.8 to 1.1): This is within the therapeutic range for most warfarin indications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Sumatriptan is not indicated for mood disorders.
B. This medication treats migraines by constricting cranial blood vessels, relieving headache symptoms.
C. Sumatriptan has no effect on bone density.
D. Relief of chest pain is not a therapeutic use of sumatriptan.
Correct Answer is D
Explanation
A. Concurrent use of chondroitin: Chondroitin is commonly used to treat osteoarthritis and can generally be used safely alongside celecoxib.
B. Concurrent use of calcium supplements: Calcium supplements do not have a contraindication with celecoxib and can be used concurrently.
C. Penicillin allergy: A penicillin allergy does not affect the use of celecoxib, as it is unrelated to the penicillin class of antibiotics.
D. Sulfonamide allergy: Celecoxib is a sulfonamide-based medication, so clients with a sulfonamide allergy should not take it due to the risk of an allergic reaction.
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