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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 C

Explanation

Choice A rationale:

A BUN level of 15 mg/dL is within a normal range.

Choice B rationale:

A potassium level of 3.8 mEq/L is within a normal range.

Choice C rationale:

Dizziness upon standing could indicate orthostatic hypotension, which could be a concern following administration of a diuretic like furosemide.

Choice D rationale:

Difficulty hearing is not typically associated with furosemide administration.

A. Central venous access device B. Midline catheter C. Subcutaneous D. Intraosseous

Correct Answer is A

Explanation

Choice A rationale:

Total parental nutrition (TPN) is a highly concentrated intravenous nutritional solution that provides essential nutrients. It is administered through a central venous access device to ensure proper dilution and delivery.

Choice B rationale:

A midline catheter is not appropriate for administering TPN, as it may not be suitable for the concentrated solution.

Choice C rationale:

Subcutaneous administration is not suitable for TPN, as it requires intravenous access to provide the necessary nutrients directly into the bloodstream.

Choice D rationale:

Intraosseous access is not commonly used for long-term nutritional support like TPN; it is more often used for emergent situations.

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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?

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