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 D
Explanation
The nurse should instruct the client to cleanse the skin before applying a nitroglycerin transdermal patch 1.
This is because it is important to apply the patch to a clean, dry skin area with little or no hair that is free of scars, cuts, or irritation 1.
Choice A is incorrect because it is not recommended to use an old patch with medication residue.
Instead, always remove a previous patch before applying a new one 1.
Choice B is incorrect because a nitroglycerin patch should not be kept in place for 72 hours before replacing.
Instead, it should be worn for 12 to 14 hours and then removed 2.
Choice C is incorrect because the patch should not be applied to a hairy area of the skin for better adherence.
Instead, it should be applied to an area with little or no hair 1.
Correct Answer is B
Explanation
To calculate the volume of cefixime oral suspension that the nurse should administer, you need to divide the prescribed dose (200 mg) by the concentration of the suspension (100 mg/mL).
This gives you 200 mg ÷ 100 mg/mL = 2 mL.
Therefore, the nurse should administer 2 mL of cefixime oral suspension.
Choice A is incorrect because 1.9 mL would provide a dose of 190 mg.
Choice C is incorrect because 2.1 mL would provide a dose of 210 mg.
Choice D is incorrect because 2.2 mL would provide a dose of 220 mg.
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