If the patient PTT lab level is too long and greater than 80 seconds, the nurse should notify the doctor.
Which doctor’s order should the nurse anticipate?

Continue with the same dosage.

Hold dose.

Increase in dosage.

Decrease in dosage.

Answer and Explanation

The Correct Answer is B

This is because a PTT (partial thromboplastin time) test measures how long it takes for blood to clot. A normal PTT range is between 25 to 35 seconds. If the patient’s PTT is too long and greater than 80 seconds, it means their blood is taking too long to clot and they are at risk of bleeding excessively. The nurse should notify the doctor and expect an order to hold the dose of heparin, a type of anticoagulant that prevents blood clots by prolonging the PTT.
Choice A is wrong because continuing with the same dosage of heparin would not correct the prolonged PTT and could cause more bleeding problems for the patient.
Choice C is wrong because increasing the dosage of heparin would further prolong the PTT and increase the risk of bleeding.
Choice D is wrong because decreasing the dosage of heparin would not be enough to bring the PTT back to normal range and would still pose a bleeding risk for the patient.

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

Explanation

These are all measures that can help prevent urinary tract infection (UTI), which is an infection in any part of the urinary system, including kidneys, ureters, bladder, and urethra.

Choice A is wrong because holding the urge to urinate as much as possible can allow bacteria to grow in the bladder and cause infection.It is better to urinate frequently and completely to flush out any germs that may enter the urinary tract.

Choice B is correct because emptying the bladder before and after sexual intercourse can help remove any bacteria that may have been introduced during sex.Sexual activity is one of the common causes of UTI, especially in women.

Choice C is correct because taking antibiotics as ordered can help treat an existing UTI or prevent a recurrent one.Antibiotics are the first line of treatment for UTI and they work by killing the bacteria that cause the infection.

Choice D is correct because female patients should wipe from front to back after using the bathroom.This can prevent bacteria from the anus or fecal matter from spreading to the urethra and causing infection.

Choice E is correct because drinking 8 to 10 glasses of water a day can help dilute the urine and flush out any bacteria that may be present in the urinary tract.Water also helps maintain a healthy urinary system by keeping it hydrated and functioning well.

A. Increase intake of sodium. B. Check pulse rate for 30 seconds and multiply result by 2. C. Take with food if nausea occurs. D. Contact the provider if heart rate is less than 60/min.

Correct Answer is D

Explanation

This is because digoxin can cause bradycardia (slow heart rate) as a side effect, which can be dangerous and require dose adjustment or discontinuation of the medication.Digoxin helps make the heart beat stronger and with a more regular rhythm by inhibiting sodium-potassium ATPase in cardiac cells.It is used to treat heart failure and atrial fibrillation.

Choice A is wrong because increasing sodium intake can worsen fluid retention and exacerbate heart failure symptoms.Patients with heart failure should follow a low-sodium diet to reduce the workload on the heart.

Choice B is wrong because checking pulse rate for 30 seconds and multiplying result by 2 is not accurate enough to monitor the effects of digoxin.

Patients taking digoxin should check their pulse rate for one full minute before taking each dose and record it daily.If the pulse rate is too fast or too slow, they should contact their provider.

Choice C is wrong because taking digoxin with food may reduce its absorption and effectiveness.Digoxin should be taken on an empty stomach, at least one hour before or two hours after a meal.If nausea occurs, it may be a sign of digoxin toxicity and should be reported to the provider.

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If the patient PTT lab level is too long and greater than 80 seconds, the nurse should notify the doctor. Which doctor’s order should the nurse anticipate?

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Naxlex Comprehensive Predictor Exams

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

Explanation

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Correct Answer is D

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If the patient PTT lab level is too long and greater than 80 seconds, the nurse should notify the doctor.
Which doctor’s order should the nurse anticipate?