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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:

Alopecia (hair loss) is not a common adverse effect of paroxetine.

Choice B rationale:

Drowsiness is a potential adverse effect of paroxetine, an antidepressant medication that can cause central nervous system effects.

Choice C rationale:

Tinnitus (ringing in the ears) is not commonly associated with paroxetine use.

Choice D rationale:

Peripheral edema is not a common adverse effect of paroxetine.

A. PaCO2 30 mm Hg B. Oxygen saturation 96 C. Decrease in protein D. Increase in BP

Correct Answer is D

Explanation

Choice A rationale:

PaCO2 levels are not typically affected by albumin infusions.

Choice B rationale:

Oxygen saturation of 96 is a normal finding and is not directly related to an albumin infusion.

Choice C rationale:

Albumin infusion would not typically cause a decrease in protein levels. A decrease in protein is not expected after albumin infusion, as albumin is a protein itself.

Choice D rationale:

Albumin is a plasma expander that increases the blood volume and the blood pressure in a client who is in shock.

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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 providing teaching to a client who has a new prescription for paroxetine. The nurse should instruct the client to monitor for which of the following adverse effects?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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