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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.

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Correct Answer is A

No explanation

A. Bradycardia B. Hypokalemia C. Hypotension D. Tinnitus

Correct Answer is C

Explanation

Choice A rationale:

Bradycardia (slow heart rate) is not a primary concern when administering lisinopril.

Choice B rationale:

Hypokalemia (low potassium levels) can be a concern with certain medications, but it is not directly related to lisinopril administration.

Choice C rationale:

Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor commonly used to treat heart failure. One of the potential side effects of ACE inhibitors is hypotension (low blood pressure), so the nurse should monitor the client's blood pressure closely during and after administration.

Choice D rationale:

Tinnitus (ringing in the ears) is not a common side effect of lisinopril.

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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 has a prescription for total parental nutrition (TPN). Which of the following routes of administration should the nurse use?

Correct Answer is A

A nurse is caring for a client who has heart failure and monitor when administering lisinopril?

Correct Answer is C

Explanation

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