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 ["100"]

Explanation

The nurse should set the IV flow rate to deliver 100 gtt/min.

To calculate the flow rate in gtt/min, you can use the formula: (Volume to be infused (mL) x Drop factor (gtt/mL)) ÷ Time (min) = Flow rate (gtt/min).

Plugging in the values from the question: (100 mL x 60 gtt/mL) ÷ 60 min = 100 gtt/min.

A. Use a 1-inch needle to inject the medication. B. Use a 22-gauge needle to inject the medication. C. Massage the injection site after administration of the medication. D. Inject the medication into the abdomen above the level of the iliac crest.

Correct Answer is D

Explanation

“Inject the medication into the abdomen above the level of the iliac crest.” When administering heparin subcutaneously, it is appropriate to inject the medication into the abdomen above the level of the iliac crest 1.
Choice A is not correct because a 1-inch needle may be too long for subcutaneous injection.
A shorter needle, such as a 3/8 to 5/8 inch needle, is typically used for subcutaneous injections.
Choice B is not correct because a 22-gauge needle may be too large for subcutaneous injection.
A smaller gauge needle, such as a 25- or 27-gauge needle, is typically used for subcutaneous injections.
Choice C is not correct because massaging the injection site after administering heparin can increase the risk of bruising and should be avoided.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer dextrose 5% in water IV to infuse at 100 mL/60 min. The drop factor on the manual IV tubing is 60 gtt/mL. The nurse should set the IV flow rate to deliver how many gtt/min. (Round to the nearest whole number.).

Correct Answer is ["100"]

Explanation

A nurse is preparing to administer heparin subcutaneously to a client. Which of the following is an appropriate action by the nurse?

Correct Answer is D

Explanation

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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?