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.

Answer and Explanation

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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Correct Answer is C

Explanation

a) Insulin glargine is a long-acting basal insulin and is not typically administered before each meal.

b) Administering insulin glargine after meals is not the standard practice. It is given once daily to provide a continuous basal insulin level.

c) Insulin glargine is a once-daily basal insulin that is usually administered at the same time every day to maintain a consistent level of insulin in the body.

d) Unlike short-acting insulins, insulin glargine is not given with meals but provides a basal level of insulin throughout the day.

A. Antihistamines are safe to take during breastfeeding, but they cause spina bifida in pregnancy. B. Antihistamines should be avoided in pregnancy unless necessary. C. The margin of safety for antihistamines is clearly understood for pregnant clients. D. Second-generation antihistamines are completely safe to take during the first trimester.

Correct Answer is B

Explanation

a) Antihistamines are generally considered safe during breastfeeding, but this statement does not address the safety during pregnancy.

b) The general recommendation is to avoid unnecessary medication use during pregnancy, including antihistamines, especially during the first trimester.

c) The margin of safety for antihistamines is not universally understood, and caution is advised during pregnancy.

d) While second-generation antihistamines are considered safer than first-generation ones, the safety of any medication during pregnancy should be discussed with a healthcare provider.

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A client with a new diagnosis of atrial fibrillation is receiving a continuous infusion of heparin. Which finding will the nurse report immediately?

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Naxlex Comprehensive Predictor Exams

Insulin glargine is prescribed for a hospitalized client who has diabetes. When will the nurse expect to administer this drug?

Correct Answer is C

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A pregnant client asks the nurse if she can take antihistamines for seasonal allergies during her pregnancy. What will the nurse tell the client?

Correct Answer is B

Explanation

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