A nurse is preparing to administer a subcutaneous injection of heparin to a client. Which of the following actions should the nurse plan to take?
Aspirate before administering the medication.
Withhold the medication for an elevated platelet count.
Monitor INR levels.
Validate the dosage with a second nurse.
The Correct Answer is D
A. Aspirating is not necessary for subcutaneous injections, as it is not a deep intramuscular injection.
B. Withholding heparin for an elevated platelet count is unnecessary unless there is a confirmed heparin-induced thrombocytopenia (HIT).
C. INR is not used to monitor heparin therapy. Heparin is monitored using aPTT (activated partial thromboplastin time) or anti-Xa levels.
D. It is standard practice to validate heparin dosage with a second nurse to ensure safety due to the high risk of bleeding associated with this medication.
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Related Questions
Correct Answer is D
Explanation
A. Aspirating is not necessary for subcutaneous injections, as it is not a deep intramuscular injection.
B. Withholding heparin for an elevated platelet count is unnecessary unless there is a confirmed heparin-induced thrombocytopenia (HIT).
C. INR is not used to monitor heparin therapy. Heparin is monitored using aPTT (activated partial thromboplastin time) or anti-Xa levels.
D. It is standard practice to validate heparin dosage with a second nurse to ensure safety due to the high risk of bleeding associated with this medication.
Correct Answer is D
Explanation
A. Respiratory rate is not a critical assessment before administering amlodipine.
B. Oxygen saturation is not directly affected by amlodipine, so it is not necessary to assess before administration.
C. Temperature is not a priority assessment before administering amlodipine.
D. Blood pressure should be assessed before administering amlodipine, as it is a calcium channel blocker used to treat hypertension, and it can lower blood pressure.
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