A nurse is caring for a client who has been taking warfarin and has an international normalized ratio (INR) time of 5. Which of the following medications should the nurse anticipate the provider to prescribe?

Ferrous sulfate

Heparin

Prednisone

Vitamin K

Answer and Explanation

The Correct Answer is D

A. Ferrous sulfate: Ferrous sulfate is an iron supplement used to treat or prevent low blood levels of iron (such as those caused by anemia or pregnancy). It is not used to treat high INR levels.

B. Heparin: Heparin is an anticoagulant, or blood thinner, that prevents the formation of blood clots. It would not be used to treat a high INR level, as it could potentially increase the INR even further.

C. Prednisone: Prednisone is a corticosteroid that reduces inflammation in the body. It is not used to treat high INR levels.

D. Vitamin K: This is correct. Vitamin K is used to help blood clot and is given to patients who have a high INR level to reduce the risk of bleeding. Warfarin works by blocking the effects of vitamin K, so giving vitamin K can help reverse the effects of warfarin and lower the INR.

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Correct Answer is B

Explanation

A. “C” refers to the cost to complete the research: This is not accurate. In a PICOT question, “C” stands for “Comparison”. It refers to the other main intervention or treatment that you wish to compare with the intervention12.

B. “O” refers to the outcome of the research: This is correct. In a PICOT question, “O” stands for “Outcome”. It refers to the effect or result that you expect from the intervention12.

C. “I” refers to the issue to be researched: This is not accurate. In a PICOT question, “I” stands for “Intervention”. It refers to the treatment or action that the researcher wants to study12.

D. “T” Prefers to the steps for planning the research: This is not accurate. In a PICOT question, “T” stands for “Time”. It refers to the time it takes for the intervention to achieve the outcome or how long patients are observed

A. Determine the client's blood pressure 1 min after each position change. B. Place the client in a sitting position. C. Assist the client into a standing position. D. Check the blood pressure with the client in a supine position

Correct Answer is D

Explanation

(A) Determine the client’s blood pressure 1 min after each position change: While it’s important to check the client’s blood pressure after each position change when assessing for orthostatic hypotension, this is not the first step. The nurse should first establish a baseline blood pressure reading with the client in a supine position.

(B) Place the client in a sitting position: Although the nurse will eventually need to check the client’s blood pressure in a sitting position, the first step is to get a baseline reading with the client in a supine position.

(C) Assist the client into a standing position: The nurse will eventually assist the client into a standing position to check for changes in blood pressure, but this is not the first step. The initial step is to get a baseline reading with the client in a supine position.

(D) Check the blood pressure with the client in a supine position: This is the most appropriate first step. When checking for orthostatic hypotension, the nurse should first check the client’s blood pressure while they are lying flat (supine). This provides a baseline reading against which subsequent readings (taken when the client is sitting and standing) can be compared. If there’s a significant drop in blood pressure upon standing, this could indicate orthostatic hypotension.

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A nurse is caring for a client who has been taking warfarin and has an international normalized ratio (INR) time of 5. Which of the following medications should the nurse anticipate the provider to prescribe?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing the process of evidence-based practice with a newly licensed nurse. Which of the following information should the nurse include when discussing a PICOT question?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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