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 A
Explanation
Protamine is a medication that can be used to reverse the effects of heparin in the event of an overdose.
It binds to heparin and neutralizes its anticoagulant effects.
Choice B is not correct because glucagon is used to treat low blood sugar, not heparin overdose.
Choice C is not correct because oxygen is not a medication and is not used to treat heparin overdose.
Choice D is not correct because insulin is used to lower high blood sugar levels, not to treat heparin overdose.
Correct Answer is A
Explanation
A nurse should never share her password for access to the facility’s computer system with anyone.
Sharing passwords can compromise the security and confidentiality of patient information.
For the second question you asked, the correct answer is choice A.
“I’ll use my electric razor for shaving.” This statement indicates that the client understands that warfarin (coumadin) can increase the risk of bleeding and that using an electric razor can help reduce the risk of cuts and bleeding while shaving.
Choice B is not the best answer because taking aspirin while on warfarin (coumadin) can increase the risk of bleeding.
Choice C is not the best answer because eating foods high in vitamin K can interfere with the effectiveness of warfarin (Coumadin).
Choice D is not the best answer because drinking alcohol while on warfarin (coumadin) can increase the risk of bleeding.
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