A nurse is evaluating the laboratory results of four clients. The nurse should report which of the following laboratory results to the provider?

A client who has a prescription for heparin and an aPTT of 90 seconds (30-40 seconds).

A client who has a prescription for warfarin and an INR of 2.0 (0.8 to 1.1).

A client who has a prescription for heparin and an aPTT of 65 seconds (30-40 seconds).

A client who has a prescription for warfarin and an INR of 3.0 (0.8 to 1.1).

Answer and Explanation

The Correct Answer is A

A. A client who has a prescription for heparin and an aPTT of 90 seconds (30-40 seconds).: This is significantly elevated and indicates a risk for bleeding, as the therapeutic range for heparin is typically 1.5–2.5 times the normal value.
B. A client who has a prescription for warfarin and an INR of 2.0 (0.8 to 1.1): This is within the therapeutic range for most conditions treated with warfarin (e.g., 2.0–3.0).
C. A client who has a prescription for heparin and an aPTT of 65 seconds (30-40 seconds): This is slightly elevated but still within the therapeutic range for heparin (typically 60–80 seconds).
D. A client who has a prescription for warfarin and an INR of 3.0 (0.8 to 1.1): This is within the therapeutic range for most warfarin indications.

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Correct Answer is D

Explanation

A. 15 g of carbohydrates: This is used for hypoglycemia, not for hypotension.
B. Naloxone: Naloxone is an opioid antagonist, not relevant for ramipril-related symptoms.
C. Diphenhydramine: This is an antihistamine and not indicated for ramipril-related dizziness.
D. Fluid bolus: Dizziness and lightheadedness after starting an ACE inhibitor like ramipril may be due to hypotension. A fluid bolus can help restore blood volume and alleviate these symptoms.

A. Check the client's MAR to see what the client received the day before B. Ask the client what medication she took yesterday. C. Ask the client if she has any allergies. D. Check the prescription in the client's medical record.

Correct Answer is D

Explanation

A. Check the client's MAR to see what the client received the day before: This does not address the issue of a potential medication error.
B. Ask the client what medication she took yesterday: The client may not accurately recall medication names or dosages.
C. Ask the client if she has any allergies: While important, this does not resolve the issue of the medication discrepancy.
D. Check the prescription in the client's medical record: This is the most appropriate action to verify the correct medication.

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Body System	Findings
Vital Signs/General History	Temperature 35.4 °C (97.6 °F), oral Heart rate 75/min Respiratory rate 16/min Blood pressure 100/74 mmHg Oxygen saturation 99% on room air Client is a vegetarian and takes a multivitamin daily Client reports having three to four alcoholic beverages a couple times per week.
Integumentary	Skin color is consistent with genetic background. No rashes or lesions. The client has varicose veins.
Cardiovascular/Respiratory	S1S2 auscultated. No murmurs. All peripheral pulses 2+. Lung sounds clear bilaterally.
Gastrointestinal/Genitourinary	Abdomen soft, nontender. Normoactive bowel sounds in all 4 quadrants. Last bowel movement was 3 days ago. Voids four to five times a day. Urine is clear, yellow, and odorless. Last menstrual period was 3 months ago.
Neurologic/Musculoskeletal	Alert and oriented to person, place, and time. Client takes diazepam as needed for anxiety. Client has full range of motion and is able to maintain flexion against resistance in all four extremities.

A nurse is evaluating the laboratory results of four clients. The nurse should report which of the following laboratory results to the provider?

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Naxlex Comprehensive Predictor Exams

A nurse is administering the first dose of ramipril to a client who has hypertension. The client reports feeling dizzy and lightheaded. Which of the following should the nurse administer?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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