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 A

Explanation

A. Fever (Correct Answer): An acute infusion reaction to amphotericin B can manifest with symptoms such as fever, chills, and rigors. An elevated body temperature is indicative of a systemic response to the medication and may suggest an infusion reaction.
B. Dry cough: While respiratory symptoms can be associated with amphotericin B infusion reactions, a dry cough is not a specific indicator. Respiratory symptoms may include dyspnea, chest pain, or coughing, but other signs such as fever are more characteristic of an acute infusion reaction.
C. Hyperglycemia: Hyperglycemia is not typically associated with amphotericin B infusion reactions. The side effects of amphotericin B are more commonly related to its antifungal properties and may include renal toxicity, electrolyte imbalances, and infusion-related reactions, but not hyperglycemia.
D. Pedal edema: Pedal edema (swelling of the feet) is not a typical manifestation of an acute amphotericin B infusion reaction. Infusion reactions are more likely to involve systemic symptoms such as fever, chills, and rigors

A. Drowsiness B. Tinnitus C. Peripheral edema D. Alopecia

Correct Answer is A

Explanation

A. Drowsiness:
This is the correct answer. Drowsiness or sedation is a common side effect of paroxetine, which is a selective serotonin reuptake inhibitor (SSRI). Clients should be informed about the potential for drowsiness, especially when initiating the medication or adjusting the dosage.
B. Tinnitus:
Tinnitus (ringing in the ears) is not a common side effect of paroxetine. It is important to monitor for auditory issues with medications, but paroxetine is not typically associated with tinnitus.
C. Peripheral edema:
Peripheral edema is not a common adverse effect of paroxetine. Swelling of the extremities is not typically associated with SSRIs like paroxetine.
D. Alopecia:
Alopecia (hair loss) is not commonly associated with paroxetine. Hair loss is not a typical side effect of SSRIs.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is monitoring for an infusion reaction for a client who is receiving a dose of IV amphotericin B. Which of the following findings should indicate to the nurse that the client is experiencing an acute infusion reaction?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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