A nurse is reviewing laboratory data from a client who has a pulmonary embolism and is receiving IV heparin.

Which of the following findings should the nurse report to the provider?

Patient's platelets 100,000.

Prothrombin time (PT) 12 seconds.

Thrombin time (TT) 55 seconds.

Hematocrit 35%.

Answer and Explanation

The Correct Answer is A

“Patient’s platelets 100,000.” A nurse should report a low platelet count to the provider because it may indicate heparin-induced thrombocytopenia (HIT), a serious complication of heparin therapy.
Choice B is not correct because a Prothrombin time (PT) of 12 seconds is within the normal range and does not need to be reported.
Choice C is not correct because Thrombin time (TT) is not typically used to monitor heparin therapy.
Choice D is not correct because a Hematocrit of 35% is within the normal range and does not need to be reported.

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Correct Answer is ["1"]

Explanation

The physician has ordered a total of 2 g/day of vancomycin hydrochloride to be taken in 4 divided doses.

This means that each dose should be 2 g/day ÷ 4 = 0.5 g/dose.

Since the pharmacy has filled the prescription with 500 mg capsules, and 500 mg is equivalent to 0.5 g, the client should take 1 capsule per dose.

A. You will have to submit a written request for access to your record. B. We will provide you a copy of your records when we are preparing you for discharge. C. Sorry, but you do not have the time to read your chart. D. I can set up a time for you to meet with your provider to go over your medical record.

Correct Answer is D

Explanation

Patients have the right to access their medical records and review them with their healthcare provider.
The nurse should set up a time for the client to meet with their provider to go over their medical record.
Choice A is not correct because patients do not need to submit a written request for access to their medical records.
Choice B is not correct because patients do not have to wait until discharge to review their medical records.
Choice C is not correct because it is not appropriate for the nurse to deny the patient’s request to review their medical record.

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A nurse is reviewing laboratory data from a client who has a pulmonary embolism and is receiving IV heparin. Which of the following findings should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The physician orders vancomycin hydrochloride 2 g/day by mouth in 4 divided doses. The pharmacy fills the client's prescription with 500 mg vancomycin hydrochloride capsules. The nurse should instruct the client to take______capsule(s) per dose.

Correct Answer is ["1"]

Explanation

A nurse on a medical-surgical unit is caring for a client who asks to review his medical record. Which of the following responses should the nurse make?

Correct Answer is D

Explanation

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A nurse is reinforcing teaching with a client who is to start subcutaneous heparin. Which of the following information should the nurse include in the teaching?

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A nurse is reviewing laboratory data from a client who has a pulmonary embolism and is receiving IV heparin.

Which of the following findings should the nurse report to the provider?