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%.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
“Tachycardia.” Theophylline can cause a number of side effects, including tachycardia (fast heart rate) 1.
The nurse should instruct the client to monitor for this adverse effect and report it to their healthcare provider if it occurs.
Choice A is not correct because drowsiness is not a common side effect of theophylline.
Choice B is not correct because constipation is not a common side effect of theophylline.
Choice D is not correct because tachycardia is a known adverse effect of theophylline.
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.
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