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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
Choice A rationale:
Older adults are more likely to take multiple medications (polypharmacy), which increases the risk of drug interactions and adverse reactions.
Choice B rationale:
Multiple health problems can result in complex medication regimens and an increased risk of adverse reactions.
Choice C rationale:
The rate of drug absorption tends to decrease with age, not increase.
Choice D rationale:
Decreased percentage of body fat can lead to altered drug distribution and increased risk of drug toxicity.
Choice E rationale:
Decreased renal function affects drug excretion, increasing the risk of drug accumulation and adverse effects.
Correct Answer is D
Explanation
Choice A rationale:
IV bolus administration of potassium is not appropriate due to the risk of cardiac arrhythmias.
Choice B rationale:
The formulation of potassium (potassium chloride) is appropriate for IV administration.
Choice C rationale:
Potassium chloride is typically diluted in normal saline (0.9% sodium chloride) for IV administration, not dextrose.
Choice D rationale:
The prescribed infusion rate of 30 mEq of potassium chloride over 30 minutes is too rapid and could lead to adverse effects, such as cardiac arrhythmias. The nurse should clarify the prescription and discuss a slower infusion rate with the provider.
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