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 B
Explanation
To calculate the number of tablets the nurse should administer per dose, you need to divide the prescribed dose of digoxin (0.25 mg) by the amount of digoxin available in each tablet (0.125 mg/tablet).
This gives you a result of 0.25 mg / 0.125 mg/tablet = 2 tablets.
Choice A: 1 is not the answer because 0.25 mg / 0.125 mg/tablet = 2 tablets.
Choice C: 3 is not the answer because 0.25 mg / 0.125 mg/tablet = 2 tablets.
Choice D: 4 is not the answer because 0.25 mg / 0.125 mg/tablet = 2 tablets.
Correct Answer is B
Explanation
“I understand your request to have only male staff members attend to your care.” This response acknowledges the client’s request and shows that the nurse is willing to listen to his concerns.
Choice A is not the correct answer because it can be perceived as confrontational and may make the client feel uncomfortable.
Choice C is not the correct answer because it dismisses the client’s request and may make him feel unheard.
Choice D is not the correct answer because it implies that the nurse will immediately comply with the client’s request without further discussion or consideration of other options.
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