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.

Answer and Explanation

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 A

Explanation

A. Tremors can be a side effect of pregabalin and may indicate a need to adjust the dosage or reconsider the medication; notifying the healthcare provider is appropriate.
B. Administering an antianxiety drug without consulting the healthcare provider may not address the underlying cause of the tremors and could lead to further complications.
C. Orthostatic blood pressure readings are not directly related to the symptom of hand tremors caused by pregabalin.
D. While glucose levels could influence symptoms, tremors are more likely a side effect of pregabalin rather than an indication of altered glucose levels.

A. Denies having coughing spells. B. Able to sleep through the night. C. Expectorating bronchial secretions. D. Reports reduced nasal discharge.

Correct Answer is B

Explanation

A. Denying coughing spells could indicate effectiveness, but the key indicator is improved sleep, which directly reflects reduced nighttime coughing.
B. Being able to sleep through the night indicates the medication has effectively suppressed the cough, improving rest and reducing discomfort.
C. Expectorating bronchial secretions is associated with expectorants, not antitussives like benzonatate, which are meant to suppress coughing.
D. Reduced nasal discharge is more indicative of an antihistamine's effect rather than an antitussive like benzonatate.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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