A nurse is preparing to administer a daily dose of warfarin to a client. Which of the following laboratory values should the nurse check prior to administration?
WBC
INR
Platelets
АPTT
The Correct Answer is B
A. WBC: White blood cell count is unrelated to warfarin therapy.
B. INR: Warfarin’s anticoagulant effect is monitored using the International Normalized Ratio (INR). A therapeutic INR range is typically 2–3 for most indications.
C. Platelets: While platelets are important for overall clotting, INR is the specific measure for warfarin.
D. APTT: Activated partial thromboplastin time (APTT) is used to monitor heparin, not warfarin.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Weight gain: Methimazole is used to treat hyperthyroidism, and effective treatment often leads to weight gain, as metabolism normalizes.
B. Decreased menstrual flow: Methimazole can affect menstrual cycles, but decreased flow is not an indicator of effectiveness.
C. Clear breath sounds: This is not related to the effectiveness of methimazole.
D. Increased libido: Changes in libido are not a direct indicator of methimazole’s effectiveness.
Correct Answer is D
Explanation
A. 15 g of carbohydrates: This is used for hypoglycemia, not for hypotension.
B. Naloxone: Naloxone is an opioid antagonist, not relevant for ramipril-related symptoms.
C. Diphenhydramine: This is an antihistamine and not indicated for ramipril-related dizziness.
D. Fluid bolus: Dizziness and lightheadedness after starting an ACE inhibitor like ramipril may be due to hypotension. A fluid bolus can help restore blood volume and alleviate these symptoms.
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