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?

LDL

BUN

INR

Hct

Answer and Explanation

The Correct Answer is C

A. LDL: Low-density lipoprotein (LDL) is used to assess cholesterol levels and cardiovascular risk, but it does not influence warfarin therapy. Monitoring LDL is not relevant to dosing or safety of anticoagulation.

B. BUN: Blood urea nitrogen (BUN) reflects kidney function, which is important for some medications, but warfarin is metabolized by the liver, not the kidneys. BUN is not required before administering warfarin.

C. INR: The international normalized ratio (INR) measures the effectiveness of warfarin and the client’s coagulation status. Monitoring INR ensures the dose is therapeutic and reduces the risk of bleeding or clot formation in atrial fibrillation.

D. Hct: Hematocrit measures the proportion of red blood cells and helps assess anemia or blood loss, but it does not guide warfarin dosing. While low Hct may indicate bleeding, INR is the primary laboratory value to monitor before administration.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is A

Explanation

A. Iron dextran: Iron dextran is irritating to subcutaneous tissue and can stain the skin, so the Z-track method is used to seal the medication deep in the muscle. This technique creates a zigzag path that prevents leakage back through the needle track. Using this method reduces pain and minimizes skin discoloration.

B. Vitamin B12: Vitamin B12 is typically given as a standard IM injection because it does not cause tissue staining or significant irritation. It is well tolerated without the need for special injection techniques.

C. Epoetin alfa: Epoetin alfa is administered subcutaneously or intravenously, not intramuscularly, so the Z-track method does not apply. Its purpose is to stimulate erythropoiesis, and the injection sites used do not require a sealing technique.

D. Folic acid: Folic acid is generally taken orally unless severe deficiency requires parenteral supplementation, which is usually given IV or deep subcutaneous. It does not irritate tissues or cause staining, so a Z-track technique offers no added benefit.

Correct Answer is ["119"]

Explanation

Convert Patient Weight from Pounds (lb) to Kilograms (kg)

The conversion factor is 1 kg = 2.2 lb.

Weight in kg = Weight in lb / 2.2

= 175 lb/ 2.2 lb/kg

= 79.545 kg

Calculate the Total Dose in Milligrams (mg)

Ordered Dose: 1.5 mg/kg

Total Dose (mg) = Ordered Dose (mg/kg) x Weight (kg)

= 1.5 mg/kg x 79.545 kg

= 119.3175 mg

Round to the Nearest Whole Number

= 119.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with teaching a group of newly licensed nurses about medication administration. The nurse should include that which of the following medications is administered using the Z-track method?

Correct Answer is A

Explanation

A nurse is preparing to administer enoxaparin 1.5 mg/kg subcutaneously to a client who weighs 175 lb. How many mg should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["119"]

Explanation

A nurse is contributing to the plan of care for a client who has AIDS and has malnutrition. Which of the following actions should the nurse include in the plan of care?

A nurse is contributing to the plan of care for a client who has had severe diarrhea for the past 3 days and is now beginning solid foods. Which of the following foods should the nurse include in the plan of care?

A nurse is assisting in the care of a client who is to receive a transfusion of packed RBCs. Which of the following solutions should the nurse obtain?

A nurse is caring for a client who recently experienced a left-hemisphere stroke. Which of the following findings should the nurse expect?

A nurse is checking the abdominal incision of a client who is 24 hr postoperative. The nurse finds wound evisceration with protruding abdominal contents. The nurse should place the client into which of the following positions?

A nurse is caring for a client who is taking digoxin. Which of the following findings should the nurse identify as an indication of digoxin toxicity?

A nurse is assisting in the care of a client who is in the emergency department (ED) following a ski accident. The nurse is collecting data on the client. Which of the following findings require follow up? Select all that apply.

A nurse is receiving change-of-shift report about the care of four clients. Which of the following clients should the nurse see first?