The nurse is caring for a client with atrial fibrillation who receives a prescription for warfarin. The international normalized ratio (INR) is 2.8. Which action should the nurse take?
Obtain another blood sample.
Give the next scheduled dose.
Monitor for signs of bleeding.
Notify the healthcare provider.
The Correct Answer is C
A. An INR of 2.8 is within the therapeutic range for clients on warfarin, so obtaining another blood sample is not necessary.
B. An INR of 2.8 indicates that the client is within the therapeutic range, so it is appropriate to give the next scheduled dose. However, monitoring for potential bleeding complications is a higher priority.
C. Monitoring for signs of bleeding is crucial because, while an INR of 2.8 is within the therapeutic range, it is still important to watch for any bleeding complications as part of routine care.
D. Notifying the healthcare provider is not immediately necessary unless there are signs of bleeding or other concerns, as an INR of 2.8 is typically within the acceptable range for therapeutic anticoagulation.
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Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}
Explanation
Insulin glargine is a long-acting insulin that typically begins to take effect in about 2 hours after administration. It provides a steady, prolonged glucose-lowering effect, usually lasting for about 24 hours without a pronounced peak. This makes it ideal for maintaining basal insulin levels throughout the day.
Correct Answer is C
Explanation
A. NSAIDs should not be resumed without medical advice, especially if there has been significant gastrointestinal bleeding.
B. A diet of milk, cream, and bland foods is not specifically recommended for this condition and does not address the underlying issue of NSAID-induced gastrointestinal damage.
C. Black stools can indicate gastrointestinal bleeding, which is a serious side effect of NSAIDs and requires immediate medical attention.
D. While esomeprazole can cause side effects like diarrhea or headache, they are not as urgent as reporting possible gastrointestinal bleeding.
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