A nurse is reinforcing teaching with a client who is to start subcutaneous heparin.
Which of the following information should the nurse include in the teaching?
Use a soft-bristled toothbrush.
Inject the medication deep into the thigh muscle.
Expect stools to become black and tarry.
Easy bruising indicates the medication is effective.
The Correct Answer is A
The nurse should include in the teaching that the client should use a soft-bristled toothbrush.
Heparin is an anticoagulant that decreases the clotting ability of the blood 1.
Using a soft-bristled toothbrush can help prevent bleeding of the gums while brushing teeth.
Choice B is incorrect because heparin should not be injected deep into the thigh muscle.
Instead, it should be given subcutaneously (under the skin) 2.
Choice C is incorrect because black and tarry stools are not an expected side effect of heparin.
Choice D is incorrect because easy bruising does not indicate that the medication is effective.
Instead, easy bruising may be a side effect of heparin and should be reported to the healthcare provider 1.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Protamine is a medication that can be used to reverse the effects of heparin in the event of an overdose.
It binds to heparin and neutralizes its anticoagulant effects.
Choice B is not correct because glucagon is used to treat low blood sugar, not heparin overdose.
Choice C is not correct because oxygen is not a medication and is not used to treat heparin overdose.
Choice D is not correct because insulin is used to lower high blood sugar levels, not to treat heparin overdose.
Correct Answer is D
Explanation
Hypoglycemia, or low blood sugar, can cause an irregular or fast heartbeat 12.
Bradycardia refers to a slower-than-normal heart rate, which is the opposite of what can happen during hypoglycemia.
Choice A is not an answer because dry mucous membranes are not a common symptom of hypoglycemia.
Choice B is not an answer because polyuria, or excessive urination, is not a common symptom of hypoglycemia.
Choice C is not an answer because poria is a type of fungus and is not related to hypoglycemia.
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