A patient has been taking heparin for three days and has developed hematuria. The most appropriate action for the nurse is to:

Insert a urinary catheter to determine the residual urine

Hold the next dose of heparin and contact the physician

Instruct the patient to drink adequate amounts of fluid

Administer an additional dose of heparin subcutaneously

Answer and Explanation

The Correct Answer is B

A. Insert a urinary catheter to determine the residual urine. Inserting a urinary catheter may be necessary to accurately measure urinary output and assess for signs of urinary retention. However, the presence of hematuria suggests a potential bleeding complication related to heparin therapy. While monitoring urinary output is important, inserting a urinary catheter should not be the first action taken in response to hematuria. Other interventions to address the bleeding should be prioritized.

B. Hold the next dose of heparin and contact the physician. This is the correct answer. Hematuria can be a sign of a bleeding complication, which is a known side effect of heparin therapy. Holding the next dose of heparin is appropriate to prevent further bleeding, and contacting the physician ensures prompt evaluation and appropriate management of the patient's condition. The physician may decide to adjust the dose of heparin, temporarily discontinue it, or order further investigations to determine the cause of the hematuria.

C. Instruct the patient to drink adequate amounts of fluid. While maintaining hydration is important for overall health, instructing the patient to drink fluids would not directly address the underlying cause of hematuria, which may be related to a bleeding complication from heparin therapy. Holding the next dose of heparin and contacting the physician are more appropriate actions in response to hematuria.

D. Administer an additional dose of heparin subcutaneously. Administering additional heparin would exacerbate the bleeding risk and is contraindicated in the presence of hematuria. It is important to withhold further doses of heparin and seek medical guidance to address the bleeding complication.

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Correct Answer is B

Explanation

A. Check with a reputable pharmacist: This option is a good practice, especially when starting any new medication or supplement regimen. Pharmacists are trained to understand drug interactions and potential adverse effects. They can provide valuable information about herbal products, their interactions with prescription medications, and potential allergic reactions. However, it might not be the best way to identify allergic reactions firsthand.

B. Take less than the recommended dose initially: This approach, known as dose titration, can be beneficial for identifying potential adverse reactions, including allergies. By starting with a smaller dose, the client can gauge their body's response to the herbal product. If there's any adverse reaction, it's likely to be less severe than if they took a full dose. This option allows for a controlled introduction to the herbal product. This option allows for a controlled introduction to the herbal product, minimizing the risk of severe adverse reactions while still providing valuable information about the client's tolerance and potential allergies.

C. Use only one herbal preparation at a time: This is a prudent approach because it simplifies the process of identifying the cause of any adverse reactions. If the client is using multiple herbal products simultaneously and experiences a reaction, it can be challenging to determine which product is responsible. Using only one product at a time helps isolate the source of any adverse effects, making it easier to identify allergies or other reactions.

D. Never take with prescription medications: This option is not entirely accurate. While it's essential to be cautious about potential interactions between herbal products and prescription medications, there are instances where they can be safely taken together. However, it's crucial to consult with a healthcare provider or pharmacist to ensure there are no contraindications or adverse effects when combining herbal products with prescription medications.

Correct Answer is {"dropdown-group-1":"A"}

Explanation

A. Whole: Complementary and alternative medicine (CAM) emphasizes treating the entire person, considering physical, mental, emotional, and spiritual aspects of health. It aims to restore balance and promote overall well-being.

B. Diseased: CAM focuses on addressing the root cause of illness, not just treating the symptoms of a disease. While disease management can be a part of CAM, it's not the sole focus.

C. Partial: CAM doesn't focus on treating only a part of the person. It aims for a comprehensive approach.

D. Impaired: While CAM can be used to address impairments, it has a broader scope that encompasses promoting overall health and preventing illness, not just treating existing limitations

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A patient has been taking heparin for three days and has developed hematuria. The most appropriate action for the nurse is to:

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Naxlex Comprehensive Predictor Exams

When beginning herbal products, the nurse understands that the best way to identify allergic or other adverse reactions is to have the client:

Correct Answer is B

Explanation

Complementary and alternative medicine focuses on treating the person using natural products and mind-body therapies.

Correct Answer is {"dropdown-group-1":"A"}

Explanation

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