A nurse is monitoring the laboratory values of a client who is receiving heparin. Which of the following values should the nurse report to the provider?

PT 11 seconds

APTT 50 seconds

Hematocrit 456

Platelets 300,000/mm²

Answer and Explanation

The Correct Answer is C

A.PT (Prothrombin Time) 11 seconds: The prothrombin time measures the extrinsic pathway of the coagulation cascade. A PT of 11 seconds is within the normal range, and it indicates that the extrinsic clotting pathway is functioning appropriately. There is no need to report this value.
B. APTT (Activated Partial Thromboplastin Time) 50 seconds: The APTT measures the intrinsic pathway of the coagulation cascade. A value of 50 seconds is prolonged and may suggest that the client is receiving an effective anticoagulant dose. However, the APTT target range can vary based on the specific therapeutic goal and the heparin protocol in use. It's essential to follow the healthcare provider's guidance on the target APTT range.
C. Hematocrit 456: The normal range for hematocrit is usually expressed as a percentage. A value of 456 is outside the normal range and likely represents an error or a misinterpretation. The nurse should verify this value, as an extremely high hematocrit could be indicative of an issue such as dehydration or an analytical error.
D. Platelets 300,000/mm²: A platelet count of 300,000/mm² is within the normal range. There is no need to report this value as it suggests a normal platelet count.

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Correct Answer is B

Explanation

A. "You should take this medication on an empty stomach:"
Bumetanide can be taken with or without food. It is not necessary to take it on an empty stomach.
B. "You should monitor for hearing difficulties:"
This is the correct answer. Loop diuretics, including bumetanide, are associated with ototoxicity, which can lead to hearing difficulties or hearing loss. Clients should be instructed to report any changes in hearing.
C. "You should decrease your intake of foods high in potassium:"
Bumetanide can cause potassium loss, but instructing the client to decrease potassium intake may not be appropriate without knowing the client's specific potassium levels. Monitoring potassium levels and adjusting the diet or prescribing supplements as needed would be a more individualized approach.
D. "You should take the medication at bedtime:"
Bumetanide is often prescribed in the morning to avoid disrupting sleep with increased urination during the night. Taking it at bedtime is not a typical recommendation.

A. Withdraw the NPH insulin from the vial. B. inject air into the NPH vial C. Withdraw the regular insulin from the vial D. Inject air into the regular insulin vial.

Correct Answer is B, D, C, A

Explanation

A. Inject air into the NPH insulin vial: Start by injecting air into the NPH insulin vial. This step prevents creating a vacuum in the vial, making it easier to withdraw the correct dose of insulin.

B. Inject air into the regular insulin vial: After injecting air into the NPH insulin vial, inject air into the regular insulin vial. This step equalizes the pressure within the vial and makes it easier to withdraw the insulin.

C. Withdraw the regular insulin from the vial: Once the air has been injected into the regular insulin vial, withdraw the required dose of regular insulin from the vial.

D. Withdraw the NPH insulin from the vial: After withdrawing the regular insulin, withdraw the required dose of NPH insulin from its vial.

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A nurse is monitoring the laboratory values of a client who is receiving heparin. Which of the following values should the nurse report to the provider?

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Naxlex Comprehensive Predictor Exams

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Explanation

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