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.
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation

Fentanyl buccal film is a small film that sticks to the inside of the cheek and eventually dissolves within 15 to 30 minutes after it is applied.
It is used to manage breakthrough pain in patients with cancer who are already using another opioid pain medicine around-the-clock.
Choice A is wrong because the medication should not be placed on the client’s tongue for dissolution.
Choice B is wrong because the medication should not be dissolved in water before administering it.
Choice D is wrong because the client should not be instructed to swallow the medication with a sip of water.
Correct Answer is D
Explanation
Confusion is the priority for the nurse to report to the provider because it can be a sign of a serious side effect of citalopram.

Choice A is wrong because weight loss is not mentioned as a serious side effect of citalopram.
Choice B is wrong because bruxism is not mentioned as a serious side effect of citalopram.
Choice C is wrong because insomnia is a common side effect of citalopram but not considered a serious side effect that requires immediate medical attention.
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