Heparin Infusion Review.

A nurse is reviewing the laboratory results of a client who is receiving heparin by continuous IV infusion.
Which of the following results indicates the nurse should decrease the infusion rate?

Erythrocyte sedimentation rate 18 mm/hr.

aPTT 90 seconds.

INR.2.

Platelets 350,000/mm.

Answer and Explanation

The Correct Answer is B

Heparin is an anticoagulant medication that is used to decrease the clotting ability of the blood and help prevent harmful clots from forming in blood vessels.

The activated partial thromboplastin time (aPTT) is a laboratory test commonly used to monitor unfractionated heparin therapy.

An aPTT value of 90 seconds is above the therapeutic range and indicates that the heparin infusion rate should be decreased.

Choice A is wrong because Erythrocyte sedimentation rate 18 mm/hr, is not the correct answer because it is not used to monitor heparin therapy.

Choice C is wrong because INR.2, is not the correct answer because it falls within the normal range for INR values and is not used to monitor heparin therapy.

Choice D is wrong because Platelets 350,000/mm, is not the correct answer because it falls within the normal range for platelet counts and is not used to monitor heparin therapy.

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 B

Explanation

The nurse should monitor the client for fever as an indication that the client is experiencing an acute infusion reaction to IV amphotericin

Fever is a common symptom of an infusion reaction to amphotericin

Choice A is wrong because pedal edema is not a commonly reported symptom of an acute infusion reaction to amphotericin

Choice C is wrong because hyperglycemia is not a commonly reported symptom of an acute infusion reaction to amphotericin

Choice D is wrong because dry cough is not a commonly reported symptom of an acute infusion reaction to amphotericin

A. Discard the vial of medication if the solution is cloudy. B. Shake the vial of medication to dissolve particulates. C. Dilute the vial of medication with sterile water. D. Thaw the medication in the vial 30 min before administration.

Correct Answer is A

Explanation

Discard the vial of medication if the solution is cloudy.

This is because epoetin alfa should not be used if it has been frozen or if it has changed color or has particles in it.

Choice B is wrong because the vial should not be shaken before use.

Choice C is wrong because epoetin alfa should not be diluted with sterile water or any other liquid.

Choice D is wrong because epoetin alfa should not be frozen and therefore does not need to be thawed before administration.

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

Heparin Infusion Review. A nurse is reviewing the laboratory results of a client who is receiving heparin by continuous IV infusion. Which of the following results indicates the nurse should decrease the infusion rate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is monitoring for an infusion reaction for a client who is receiving a dose of IV amphotericin Which of the following findings should indicate to the nurse that the client is experiencing an acute infusion reaction?

Correct Answer is B

Explanation

A nurse is reviewing agency protocol prior to administering epoetin alfa to a client who has chronic kidney disease. Which of the following actions should the nurse plan to take?

Correct Answer is A

Explanation

A nurse on a medical-surgical unit is preparing to administer an influenza vaccine to a client. The client tells the nurse, "I no longer want to receive this vaccine." Which of the following responses should the nurse make?

A nurse in a provider's office is assessing a client who has hypothyroidism and has been taking levothyroxine for 2 months. Which of the following statements by the client indicates a therapeutic response to the medication?

A nurse is preparing to administer medications to a client and discovers a medication error. The nurse should recognize that which of the following staff members is responsible for completing an incident report?

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 providing teaching about the adverse effects of ergotamine to a client who has migraine headaches. Which of the following adverse effects should the nurse include in the teaching?

A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed hypertonic solution. Which of the following findings should indicate to the nurse that the treatment is effective?

A nurse is caring for a client who is receiving ceftriaxone intravenously. Which of the following manifestations should the nurse identify as an allergic reaction?

A nurse is interviewing a client who was newly admitted prior to administering medications. The client tells the nurse, "I forgot to tell the doctor I take albuterol for asthma." For which of the following medications should the nurse withhold the dose and notify the provider?

Heparin Infusion Review.

A nurse is reviewing the laboratory results of a client who is receiving heparin by continuous IV infusion.
Which of the following results indicates the nurse should decrease the infusion rate?