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
Explanation
Choice A rationale:
Fluid retention and edema are potential adverse effects of pioglitazone, a thiazolidinedione antidiabetic medication.
Choice B rationale:
Insomnia is not typically associated with pioglitazone.
Choice C rationale:
Orthostatic hypotension is not typically associated with pioglitazone.
Choice D rationale:
Tinnitus is not typically associated with pioglitazone.
Correct Answer is A
Explanation
Choice A rationale:
Pruritus, or itching, is a common adverse effect of opioid medications like morphine.
Choice B rationale:
Gastric bleeding is not a typical adverse effect of morphine administered via epidural infusion.
Choice C rationale:
Tachypnea, or rapid breathing, is not a common adverse effect of morphine. It's more commonly associated with opioid overdose.
Choice D rationale:
Cough is not a prominent adverse effect of morphine administered via epidural infusion.
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