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 B

Explanation

A. Urinary retention: Urinary retention is not a typical adverse effect of lorazepam.
B. Dizziness: Lorazepam, a benzodiazepine, commonly causes CNS effects such as dizziness, drowsiness, and confusion.
C. Decreased appetite: Appetite changes are not commonly associated with lorazepam.
D. Hypertension: Lorazepam may cause hypotension, not hypertension, especially with IV administration.

A. "I understand that the medication can slow my heart rate." B. "I am going to take the medication with food." C. "I will take the medication every 10 minutes until the pain goes away." D. "I should feel the effects of the medicating within 5 minutes."

Correct Answer is D

Explanation

A. "I understand that the medication can slow my heart rate.": Nitroglycerin works by dilating blood vessels, which can reduce blood pressure but does not significantly slow the heart rate.
B. "I am going to take the medication with food.": Nitroglycerin should be taken sublingually without food, as food can interfere with its absorption.
C. "I will take the medication every 10 minutes until the pain goes away.": The typical recommendation is to take 1 tablet every 5 minutes for up to 3 doses; if pain persists, seek medical attention.
D. "I should feel the effects of the medication within 5 minutes.": Sublingual nitroglycerin typically works within 1-3 minutes to relieve chest pain.

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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 caring for a client who has a new prescription for lorazepam. For which of the following adverse effects should the nurse monitor?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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