A nurse is assessing a client who is receiving heparin therapy for deep-vein thrombosis.
Which of the following findings should indicate to the nurse that the therapy is effective?

Platelets within the expected reference range.

Decreased INR.

Presence of pedal pulses bilaterally.

Reduced calf circumference.

Answer and Explanation

The Correct Answer is D

Heparin therapy is used to prevent thrombus propagation and distal embolization while allowing the endogenous fibrinolytic system to dissolve existing clots in deep-vein thrombosis (DVT)1.

A reduction in calf circumference may indicate that the clot is dissolving and the therapy is effective.

Choice A is wrong because platelets within the expected reference range do not necessarily indicate that heparin therapy for DVT is effective.

Choice B is wrong because INR (International Normalized Ratio) is used to monitor warfarin therapy, not heparin therapy.

Choice C is wrong because the presence of pedal pulses bilaterally does not necessarily indicate that heparin therapy for DVT is effective.

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Correct Answer is B

Explanation

This is because hypotension (low blood pressure) can be a sign of anaphylaxis, which is a severe allergic reaction that can occur with ceftriaxone.

Choice A is wrong because polyuria (increased urination) is not a common sign of an allergic reaction to ceftriaxone.
Choice C is wrong because nausea can be a side effect of ceftriaxone but is not specific to an allergic reaction.
Choice D is wrong because bradycardia (slow heart rate) is not a common sign of an allergic reaction to ceftriaxone.

A. Protamine sulfate. B. Flumazenil. C. Acetylcysteine. D. Calcium gluconate.

Correct Answer is D

Explanation

An intravenous (IV) calcium supply can help calm some symptoms of hypermagnesemia.

Calcium helps normalize your heartbeat and breathing.

Choice A is wrong because Protamine sulfate, is not used to treat hypermagnesemia.

Choice B is wrong because Flumazenil, is not used to treat hypermagnesemia.

Choice C is wrong because Acetylcysteine, is not used to treat hypermagnesemia.

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A nurse is assessing a client who is receiving heparin therapy for deep-vein thrombosis. Which of the following findings should indicate to the nurse that the therapy is effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is receiving ceftriaxone intravenously. Which of the following manifestations should the nurse identify as an allergic reaction?

Correct Answer is B

Explanation

A nurse is assessing a client who has hypermagnesemia. Which of the following medications should the nurse prepare to administer?

Correct Answer is D

Explanation

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A nurse is assessing a client who is receiving heparin therapy for deep-vein thrombosis.
Which of the following findings should indicate to the nurse that the therapy is effective?