A client is on a blood thinner medication and requires weekly INR values. The nurse expects to see an INR of 2-2.5 times the normal range so she would anticipate what value:
below 1.0
1.0-2.0
above 3.0
2.0-3.0
The Correct Answer is D
A. Below 1.0: Too low, indicating inadequate anticoagulation, increasing the risk of clot formation.
B. 1.0-2.0: Subtherapeutic, meaning the medication is not effectively preventing clot formation.
C. Above 3.0: Too high, increasing the risk of bleeding complications
D. 2.0-3.0: The normal INR (International Normalized Ratio) for a client not on anticoagulants is 0.8-1.2. For clients on warfarin or other blood thinners, the target therapeutic range is typically 2.0-3.0, which reduces the risk of blood clots while minimizing the risk of bleeding. Some conditions, such as mechanical heart valves, may require a higher target range (2.5-3.5).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "The list obtained from the client does not need to list medications that are not prescribed by the client's provider." All medications must be documented, including over-the-counter drugs, herbal supplements, and non-prescribed medications to avoid drug interactions.
B. "A nurse should write a verbal order in the medical record for medications the client was taking at home." Verbal orders should be avoided unless in an emergency, and reconciliation should be based on a review of documented prescriptions and client reports rather than nurse-written orders.
C. "Complete the reconciliation process one time only when the client is first admitted to the hospital." Medication reconciliation must be repeated at every transition of care, including admission, transfer between units, and discharge.
D. "A comprehensive list of medications is reviewed upon admission/transfer and provided for the client at the time of discharge." Medication reconciliation is a critical process to ensure continuity of care and prevent medication errors. It must be conducted at every transition of care (admission, transfer, and discharge) to compare the client’s home medications with hospital prescriptions and make adjustments as needed.
Correct Answer is ["320"]
Explanation
- 10 mL medication
- 3 oz formula (1 oz = 30 mL → 3 × 30 = 90 mL)
- 2 oz juice (2 × 30 = 60 mL)
- IV fluids at 20 mL/hr for 8 hours (20 × 8 = 160 mL)
Total intake: 10 + 90 + 60 + 160 = 320 mL
Correct Answer: 320
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