A nurse is preparing to administer a subcutaneous injection of heparin to a client. Which of the following actions should the nurse plan to take?
Aspirate before administering the medication.
Withhold the medication for an elevated platelet count.
Monitor INR levels.
Validate the dosage with a second nurse.
The Correct Answer is D
A. Aspirating is not necessary for subcutaneous injections, as it is not a deep intramuscular injection.
B. Withholding heparin for an elevated platelet count is unnecessary unless there is a confirmed heparin-induced thrombocytopenia (HIT).
C. INR is not used to monitor heparin therapy. Heparin is monitored using aPTT (activated partial thromboplastin time) or anti-Xa levels.
D. It is standard practice to validate heparin dosage with a second nurse to ensure safety due to the high risk of bleeding associated with this medication.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
A. Alopecia is not a common adverse effect of atorvastatin.
B. Elevated liver enzymes can occur with atorvastatin use and should be monitored.
C. Dry cough is not associated with atorvastatin, but it is a known side effect of ACE inhibitors.
D. Jaundice can indicate liver dysfunction, a potential side effect of atorvastatin, and should be reported.
E. Muscle weakness can be a sign of rhabdomyolysis, a serious adverse effect of atorvastatin.
Correct Answer is A
Explanation
A. Rhinitis (inflammation of the nasal passages) is a common side effect of intranasal calcitonin, and alternating nares can reduce this adverse effect.
B. Esophagitis is a potential side effect with oral calcitonin but not typically with the intranasal form.
C. Warmth of the face is not a common side effect related to calcitonin use.
D. Dyspnea on exertion is not a common side effect of intranasal calcitonin.
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