Try Naxlex NCLEX-RN (Free-Trial)

A nurse is reviewing a client's 0800 laboratory values at 1100. The nurse notes that the client received heparin at 1000. Which of the following laboratory values warrants an incident report?

INR 1.6

WBC 6,000/mm3

Hgb 16 g/dL

aPTT 90 seconds

Answer and Explanation

The Correct Answer is D

Choice A rationale:

An INR of 1.6 is slightly elevated but does not necessarily warrant an incident report.

Choice B rationale:

A WBC count of 6,000/mm3 is within a normal range and would not warrant an incident report.

Choice C rationale:

A hemoglobin level of 16 g/dL is within a normal range and does not warrant an incident report.

Choice D rationale:

An aPTT of 90 seconds is significantly prolonged and may indicate excessive anticoagulation from the heparin administration. This could potentially be a safety concern and would warrant an incident report for further evaluation.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

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

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A rationale:

Hypomagnesemia involves a deficiency of magnesium, and it's not directly related to starting an exercise program while taking lithium.

Choice B rationale:

Hypokalemia involves low levels of potassium, which might not be directly influenced by the client's exercise program.

Choice C rationale:

Hypocalcemia involves low levels of calcium, and exercise is not a primary factor affecting calcium balance.

Choice D rationale:

Hyponatremia involves low levels of sodium in the blood. Starting a new exercise program while taking lithium can lead to increased sweating, potentially causing a loss of sodium. Lithium itself can also impact sodium levels. Monitoring for hyponatremia is important due to its potential impact on lithium toxicity.

A. Pruritus B. Gastric bleeding C. Tachypnea D. Cough

Correct Answer is A

Explanation

Choice A rationale:

Pruritus, or itching, is a common adverse effect of opioid medications like morphine.

Choice B rationale:

Gastric bleeding is not a typical adverse effect of morphine administered via epidural infusion.

Choice C rationale:

Tachypnea, or rapid breathing, is not a common adverse effect of morphine. It's more commonly associated with opioid overdose.

Choice D rationale:

Cough is not a prominent adverse effect of morphine administered via epidural infusion.

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 reviewing a client's 0800 laboratory values at 1100. The nurse notes that the client received heparin at 1000. Which of the following laboratory values warrants an incident report?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is taking lithium and reports starting a new exercise program. The nurse should assess the client for which of the following electrolyte imbalances?

Correct Answer is D

Explanation

A nurse is planning care for a client who is receiving morphine via continuous epidural infusion. The nurse should monitor the client for which of the following adverse effects?

Correct Answer is A

Explanation

A nurse is caring for a client who is taking triamterene. For which of the following laboratory values should the nurse withhold the medication?

A nurse accidently administers the medication metformin instead of metoprolol to a client. Which of the following actions should the nurse take?

A nurse is assessing a client who is receiving a peripheral IV infusion and notes infiltration of fluid into the tissues surrounding the insertion site. Which of the following actions should the nurse take?

A nurse is assessing a client who is taking an osmotic laxative. Which of the following findings should the nurse identify as an indication of fluid volume deficit?

A nurse is reviewing the list of current medications for a client who is to start a new prescription for carbamazepine. The nurse should identify that which of the following medications interacts with carbamazepine?

A nurse is providing teaching to a client who has a new prescription for paroxetine. The nurse should instruct the client to monitor for which of the following adverse effects?

A nurse is teaching a guardian of a school-age child who has a new prescription for a fluticasone metered-dose inhaler. Which of the following information should the nurse include in the teaching? (Select all that apply.)

A nurse is preparing to administer potassium chloride elixir 20 mEq/day PO to divide equally every 12 hr. Available is 6.7 mEq/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)