A client with a new diagnosis of atrial fibrillation is receiving a continuous infusion of heparin. Which finding will the nurse report immediately?
Concurrent use of acetaminophen for pain.
An activated partial thromboplastin time (aPTT) of 80 seconds.
An international normalized ratio (INR) of 0.8.
Evidence of dark, tarry stools.
The Correct Answer is B
a) Concurrent use of acetaminophen is not directly related to heparin therapy for atrial fibrillation. It may need attention but does not warrant immediate reporting.
b) An aPTT of 80 seconds is significantly prolonged and may indicate a risk of bleeding due to excessive anticoagulation. This finding requires immediate notification to the healthcare provider.
c) An INR of 0.8 is within the normal range and does not pose an immediate concern in the context of heparin infusion.
d) Dark, tarry stools could indicate gastrointestinal bleeding but may not be directly related to heparin therapy. It sho
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale for A: Ibuprofen is generally considered safe for use while breastfeeding, as it passes into breast milk in small amounts that are not expected to harm the infant.
Rationale for B: Lithium can have serious effects on a breastfeeding infant, as it can cause lethargy and developmental issues. Its use is generally not recommended during breastfeeding.
Rationale for C: Methotrexate is contraindicated during breastfeeding due to its potential toxicity and harmful effects on the infant, including possible effects on growth and development.
Rationale for D: Nicotine is harmful to infants and can affect their development. Smoking or using nicotine products while breastfeeding is discouraged due to the associated risks.
Correct Answer is B
Explanation
A) Bradycardia is not typically associated with long-term steroid use; it may be more related to factors like anesthesia or surgical stress.
B) Prolonged steroid use increases the risk of thrombosis, and postoperative blood clots are a concern in individuals with a history of long-term steroid use.
C) Steroids can delay wound healing, but in this context of emergency surgery for a ruptured appendix, the primary concern is often the risk of blood clots.
D) Pre-surgical dehydration is a potential concern but is not specifically related to the client's history of steroid use.
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