Heparin Infusion Review.
A nurse is reviewing the laboratory results of a client who is receiving heparin by continuous IV infusion.
Which of the following results indicates the nurse should decrease the infusion rate?
Erythrocyte sedimentation rate 18 mm/hr.
aPTT 90 seconds.
INR.2.
Platelets 350,000/mm.
The Correct Answer is B
Heparin is an anticoagulant medication that is used to decrease the clotting ability of the blood and help prevent harmful clots from forming in blood vessels.
The activated partial thromboplastin time (aPTT) is a laboratory test commonly used to monitor unfractionated heparin therapy.
An aPTT value of 90 seconds is above the therapeutic range and indicates that the heparin infusion rate should be decreased.
Choice A is wrong because Erythrocyte sedimentation rate 18 mm/hr, is not the correct answer because it is not used to monitor heparin therapy.
Choice C is wrong because INR.2, is not the correct answer because it falls within the normal range for INR values and is not used to monitor heparin therapy.
Choice D is wrong because Platelets 350,000/mm, is not the correct answer because it falls within the normal range for platelet counts and is not used to monitor heparin therapy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
An HbA1c value of 6.8% indicates that the client is adhering to the treatment plan [B].
HbA1c is a measure of long-term blood glucose control and is used to monitor the effectiveness of diabetes treatment.
An HbA1c value of less than 7% is generally considered a good target for people with diabetes.
Choice A is wrong because positive urinary ketones can indicate poor diabetes control [A].
Choice C is wrong because a total cholesterol level of 225 mg/dL is considered high and does not indicate adherence to the treatment plan [C].
Choice D is wrong because a creatinine level of.0 mg/dL is within the normal range but does not specifically indicate adherence to glipizide therapy [D].
Correct Answer is B
Explanation
Compare the current and newly prescribed medications and note any discrepancies.
During medication reconciliation, the nurse should compare the client’s current medication orders with the medications that the client has been taking and note any discrepancies.
Choice A is wrong because Reviewing the adverse effects of the medication with the client, is not part of medication reconciliation.
Choice C is wrong because Sending a list of the prescribed medications to the client’s pharmacy, is not part of medication reconciliation.
Choice D is wrong because Including the medications the client received during surgery on the client’s medication list, is not part of medication reconciliation.
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