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 A

Explanation

Insulin lispro is a fast-acting insulin that starts to work about 15 minutes after injection, peaks in about 1 hour, and keeps working for 2 to 4 hours1.
Therefore, it should be injected 15 minutes before a meal2.
Choice B is incorrect because polyuria (frequent urination) is a symptom of high blood sugar levels, not a direct result of insulin lispro injection.
Choice C is incorrect because checking the expiration date should be done before administering any medication, not after.
Choice D is incorrect because insulin lispro should be administered using a clean syringe and proper hygiene practices should be followed to prevent infection.

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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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 insulin lispro to a client who has type 1 diabetes mellitus. Which of the following actions should the nurse plan to take?

Correct Answer is A

Explanation

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

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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?