What is an indication for apixaban?

A. Bleeding: Heparin enhances the activity of antithrombin III, which inhibits clotting factors and prolongs clotting time. This mechanism increases the risk for bleeding, making it the most common and clinically significant adverse effect requiring close monitoring.

B. Hyperglycemia: Heparin does not interfere with insulin secretion or glucose metabolism. Elevated blood glucose levels are more commonly associated with corticosteroids, stress responses, or uncontrolled diabetes rather than anticoagulant therapy.

C. Constipation: Heparin does not affect gastrointestinal motility. Constipation is more frequently linked to opioid analgesics, anticholinergic medications, or reduced fluid and fiber intake.

D. Thrombus: Heparin is used to prevent and treat thrombus formation by inhibiting coagulation pathways. While heparin-induced thrombocytopenia can paradoxically increase clot risk, thrombus formation is not a typical direct side effect.

A. Report clear-colored sputum to the provider: Clear-colored sputum is typically normal and not an indication of infection or complication. The client does not need to report it unless accompanied by other concerning symptoms.

B. Increase your oral fluid intake: Guaifenesin is an expectorant that works by thinning and loosening mucus in the airways. Increasing fluid intake helps optimize its effectiveness, making coughs more productive and facilitating mucus clearance.

C. Report symptoms that last longer than 2 days: Symptoms of a sinus infection often last longer than two days, and short-duration monitoring is insufficient. Clients are usually advised to report persistent or worsening symptoms after about 7–10 days, so this instruction is inaccurate.

D. This medication will stop your cough: Guaifenesin does not suppress cough; instead, it loosens mucus to make coughing more productive. Telling the client it will stop their cough could lead to misunderstanding of the medication’s purpose and effectiveness.