A nurse is preparing to administer a scheduled dose of warfarin to a client. Which of the following laboratory tests should the nurse review prior to administration?
PT
Total iron-binding capacity
WBC
PTT
The Correct Answer is A
PT measures the time it takes for blood to clot, and it is particularly relevant for clients taking warfarin because warfarin works by inhibiting the synthesis of certain clotting factors, including factors II, VII, IX, and X, which are involved in the PT pathway. Monitoring PT levels helps ensure that the client is receiving an appropriate dose of warfarin to prevent clot formation without causing excessive bleeding.
B. Total iron-binding capacity (TIBC) is a test used to assess iron levels in the blood and is unrelated to warfarin therapy.
C. WBC (White Blood Cell count) is a test used to assess the number of white blood cells in the blood and is unrelated to warfarin therapy.
D. PTT (Partial Thromboplastin Time) is a test used to evaluate the intrinsic and common pathways of the coagulation cascade. It is used in the monitoring of heparin anticoagulant therapy. It is not typically used to monitor warfarin therapy
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A- Confirming with another nurse ensures right dosage is not necessary. Dosage should be confrimed with the prescription and proper calculation
B-Verification with the administration record ensures that the prescribed medication is the one given. This is important as it ensures that the client receives the right medications for the illness. However, it is not part of the rights of medication administration
C-Use of 2 identifiers ensures right client which is part of the rights of medication administration
D-Documenting full names is important for record-keeping but not part of the rights of medication administration
Correct Answer is B
Explanation
Buspirone is an anxiolytic agent that primarily acts as a serotonin 5-HT1A receptor agonist. It is thought to cause bradycardia by enhancing serotonergic activity in the brain, which can influence heart rate. The exact mechanism of how buspirone causes bradycardia is not fully understood, but it is believed to be related to its action on the central nervous system and its effects on neurotransmitters.
A,C,D- Not related to buspirone
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