A nurse is collecting data from a client who is taking heparin to prevent deep-vein thrombosis and has bloody stools. Which of the following laboratory values should the nurse report to the provider?
Platelets 200,000/mm3
RBC count 5.4 million/mm2
Hgb 14 g/dL
INR 5.2
The Correct Answer is D
A. Platelets within the normal range indicate appropriate clotting function and are not concerning in this scenario.
B. Red blood cell (RBC) count within the normal range suggests normal oxygen-carrying capacity and is not directly related to the client's symptoms.
C. Hemoglobin (Hgb) level within the normal range indicates adequate oxygen-carrying capacity and is not directly related to the client's symptoms.
D. An international normalized ratio (INR) of 5.2 is significantly elevated and indicates that the client's blood is not clotting properly. This could be a result of excessive anticoagulation from heparin therapy, which may lead to bleeding complications such as bloody stools. Therefore, the nurse should report this finding to the provider for further evaluation and possible adjustment of the anticoagulant therapy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A Rationale: Pulling the auricle upward and outward is typically recommended for children or infants due to the position of their ear canals. In adults, this method may not align the ear canal properly, making it difficult to administer the medication effectively.
Choice B Rationale: Pulling the auricle downward and backward is not recommended for adults as it can cause the ear canal to narrow, which may hinder the proper administration of the otic suspension and could potentially cause discomfort.
Choice C Rationale: Pulling the auricle upward and backward is the correct method for adults. This technique straightens the ear canal, allowing for easier administration of the medication and ensuring that the medication reaches the eardrum effectively.
Choice D Rationale: Pulling the auricle downward and outward is not the correct method for adults as it does not straighten the ear canal, which could prevent the medication from being properly administered and may not reach the treatment area effectively.
Correct Answer is C
Explanation
A. Applying a topical corticosteroid ointment to the scalp is not indicated for treating Pediculosis humanus capitis. Corticosteroids are used to reduce inflammation and itching associated with certain skin conditions but are not effective against lice.
B. Soaking hair brushes and combs in soapy water may help to remove any lice or nits attached to them, but it is not sufficient as the sole treatment for Pediculosis humanus capitis.
C. Washing the bed linens in hot water is crucial for killing any lice or nits that may be present on them. Heat is effective in killing lice and their eggs, thus reducing the risk of reinfestation.
D. Cleaning the child's toys with a 1:10 bleach solution may disinfect them, but it is not a primary treatment for Pediculosis humanus capitis. The focus should be on eliminating lice and nits from the environment where the child sleeps and spends time.
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