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 ["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.
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.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.