A nurse is preparing to administer warfarin to a client who has chronic atrial fibrillation.Which of the following laboratory values should the nurse monitor prior to administering the medication?
Hct.
BUN.
LDL.
INR.
The Correct Answer is D
Choice A rationale
Hematocrit (Hct) levels are not directly influenced by warfarin therapy and are not necessary to monitor prior to administering the medication.
Choice B rationale
Blood Urea Nitrogen (BUN) levels measure kidney function and are not directly affected by warfarin therapy.
Choice C rationale
Low-Density Lipoprotein (LDL) levels measure cholesterol and are not affected by warfarin therapy.
Choice D rationale
International Normalized Ratio (INR) is the correct laboratory value to monitor prior to administering warfarin. It measures the effectiveness of anticoagulation therapy and helps to ensure the dosage is appropriate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice B rationale
Dimming the lighting in the client's room helps reduce photophobia and headaches, which are common symptoms in viral meningitis.
Choice A rationale
Monitoring temperature every 6 hours is not as frequent as needed. Frequent monitoring is crucial due to the risk of rapid changes in condition.
Choice C rationale
Contact precautions are not necessary for viral meningitis, as it is not as contagious as bacterial meningitis. Standard precautions are generally sufficient.
Choice D rationale
Measuring intake and output every 8 hours is standard, but it is not specific to the needs of a viral meningitis patient like controlling environmental stimuli.
Correct Answer is B
Explanation
Choice A rationale
Leaving the television on in the client's room can cause confusion and agitation in clients with dementia, leading to an increased risk of falls.
Choice B rationale
Applying a motion sensor mat to the client's bed is an effective way to alert staff if the client attempts to get out of bed, thereby reducing the risk of falls.
Choice C rationale
Raising all four side rails can be considered a form of restraint and can increase the risk of injury if the client attempts to climb over them.
Choice D rationale
Moving the overbed table away from the bed removes a potential source of support for the client when they attempt to get up, increasing the risk of falls. .
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