A patient has been taking heparin for three days and has developed hematuria. The most appropriate action for the nurse is to:

Insert a urinary catheter to determine the residual urine

Hold the next dose of heparin and contact the physician

Instruct the patient to drink adequate amounts of fluid

Administer an additional dose of heparin subcutaneously

Answer and Explanation

The Correct Answer is B

A. Insert a urinary catheter to determine the residual urine. Inserting a urinary catheter may be necessary to accurately measure urinary output and assess for signs of urinary retention. However, the presence of hematuria suggests a potential bleeding complication related to heparin therapy. While monitoring urinary output is important, inserting a urinary catheter should not be the first action taken in response to hematuria. Other interventions to address the bleeding should be prioritized.

B. Hold the next dose of heparin and contact the physician. This is the correct answer. Hematuria can be a sign of a bleeding complication, which is a known side effect of heparin therapy. Holding the next dose of heparin is appropriate to prevent further bleeding, and contacting the physician ensures prompt evaluation and appropriate management of the patient's condition. The physician may decide to adjust the dose of heparin, temporarily discontinue it, or order further investigations to determine the cause of the hematuria.

C. Instruct the patient to drink adequate amounts of fluid. While maintaining hydration is important for overall health, instructing the patient to drink fluids would not directly address the underlying cause of hematuria, which may be related to a bleeding complication from heparin therapy. Holding the next dose of heparin and contacting the physician are more appropriate actions in response to hematuria.

D. Administer an additional dose of heparin subcutaneously. Administering additional heparin would exacerbate the bleeding risk and is contraindicated in the presence of hematuria. It is important to withhold further doses of heparin and seek medical guidance to address the bleeding complication.

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Correct Answer is C

Explanation

A. To prevent overuse of prescription medications: While some patients may use herbal therapies as an alternative to avoid overuse of prescription medications, this is not the primary reason for the widespread use of herbal therapies. People often turn to herbal remedies for their perceived natural benefits and to complement conventional treatments, rather than to prevent overuse.

B. Because herbal therapies are so much safer than manmade drugs: This is a common misconception. Herbal therapies are not necessarily safer than prescription drugs. They can have potent effects and interact with medications, potentially causing adverse reactions. The safety of herbal remedies varies widely depending on the specific herb and its use.

C. To increase feelings of wellness and promote holistic treatment: Many patients use herbal therapies as part of a holistic approach to health. They seek to improve overall wellness, balance, and harmony in their body, mind, and spirit. Herbal therapies are often integrated into a lifestyle that values natural and preventive health measures.

D. Because herbal therapies are much more regulated than prescription drugs: This statement is incorrect. Herbal therapies are generally less regulated than prescription drugs. In many countries, herbal supplements are not subject to the same rigorous testing and approval processes as prescription medications, leading to variability in quality and potency.

A. Echinacea B. Garlic C. Ginseng D. Valerian E. Ginger

Correct Answer is ["A","B","C","D","E"]

Explanation

A. Echinacea: Potential anticoagulant effects may increase the risk of bleeding when combined with warfarin.

B. Garlic: Garlic supplements have anticoagulant properties, which can increase the risk of bleeding when combined with warfarin.

C. Ginseng: Ginseng has antiplatelet effects, increasing the risk of bleeding when combined with warfarin.

D. Valerian: Valerian may interact with warfarin, potentially increasing the risk of bleeding.

E. Ginger: Ginger has antiplatelet effects, which can increase the risk of bleeding when combined with warfarin.

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A patient has been taking heparin for three days and has developed hematuria. The most appropriate action for the nurse is to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Patients often use herbal therapies for which of the following reasons?

Correct Answer is C

Explanation

The patient is to be started on warfarin (Coumadin) therapy. It is important for the nurse to check for the use of which herbs? (Select All that Apply.)

Correct Answer is ["A","B","C","D","E"]

Explanation

The nurse responds to the client's questions about CAM therapies and explains that some have been popular for centuries in treating conditions of the body and mind including which of the following? (Select All that Apply.)

Why is it important for the nurse to collect information from the patient about the use of complementary and alternative medicine (CAM)?

What is the primary advantage of using low molecular weight heparins (LMWHs) over heparin?

It is important for the nurse to assess for the use of complementary and alternative medicine (CAM) because:

A nurse is collecting data from a client who is receiving clopidogrel following the placement of a cardiac stent. Which of the following findings should the nurse identify as an adverse effect of this medication?

A nurse is reviewing the laboratory report of a client and realizes the liver function tests are elevated, indicating liver damage. The client should be monitored for which potential complication?

A nurse is caring for a client who has thrombophlebitis and is receiving a continuous heparin infusion. Which of the following medications should the nurse have available to reverse heparin's effects?