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A nurse is reviewing a client's 0800 laboratory values at 1100. The nurse notes that the client received heparin at 1000. Which of the following laboratory values warrants an incident report?

INR 1.6

WBC 6,000/mm3

Hgb 16 g/dL

aPTT 90 seconds

Answer and Explanation

The Correct Answer is D

Choice A rationale:

An INR of 1.6 is slightly elevated but does not necessarily warrant an incident report.

Choice B rationale:

A WBC count of 6,000/mm3 is within a normal range and would not warrant an incident report.

Choice C rationale:

A hemoglobin level of 16 g/dL is within a normal range and does not warrant an incident report.

Choice D rationale:

An aPTT of 90 seconds is significantly prolonged and may indicate excessive anticoagulation from the heparin administration. This could potentially be a safety concern and would warrant an incident report for further evaluation.

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Correct Answer is B

Explanation

Choice A rationale:

Red man syndrome is typically associated with the rapid infusion of vancomycin, not phenytoin.

Choice B rationale:

Hypotension can be an adverse effect of phenytoin administration, especially if the medication is administered rapidly.

Choice C rationale:

Hypoglycemia is not commonly associated with phenytoin use.

Choice D rationale:

Bradycardia is not commonly associated with phenytoin use.

A. Alcohol use disorder B. Chronic kidney disease C. Hepatitis B vaccine within the last week D. Diabetes mellitus

Correct Answer is A

Explanation

- A) Alcohol use disorder is a contraindication for acetaminophen due to the increased risk of liver damage, especially in the case of chronic alcoholism or liver diseases.
- B) Chronic kidney disease is not an absolute contraindication but requires caution. Dosing intervals may need to be adjusted due to altered excretion.
- C) Receiving a Hepatitis B vaccine within the last week is not a contraindication for acetaminophen.
- D) Diabetes mellitus is not a contraindication for acetaminophen. Patients with diabetes should be aware of sugar content in liquid formulations, but it does not preclude the use of the medication.

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A nurse is reviewing a client's 0800 laboratory values at 1100. The nurse notes that the client received heparin at 1000. Which of the following laboratory values warrants an incident report?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client after administering phenytoin IV bolus for a seizure. Which of the following findings should the nurse identify as an adverse effect of this medication?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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