Author Question: When reviewing a newly admitted patient's previous medication record, the nurse notes that the ... (Read 106 times)

Zulu123 · **on:** Jul 23, 2018

When reviewing a newly admitted patient's previous medication record, the nurse notes that the patient has previously been treated with aprepitant (Emend).

The nurse is justified is suspecting that this patient's medical history includes which of the following? A) Placement of a nasogastric tube
B) Chemotherapy
C) Endoscopy
D) Radiation therapy

Question 2

A patient is receiving IV heparin every 6 hours. An activated partial thromboplastin time (aPTT) is drawn 1 hour before the 08:00 dose. The PTT is 92 seconds. What is the most appropriate action by the nurse?

A) Give the next two doses at the same time.
B) Give the dose and chart the patient response.
C) Check the patient's vital signs and give the dose.
D) Hold the dose and call the aPTT result to the physician's attention.

heyhey123 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
Feedback:
Prescribers often order aprepitant as part of combination therapy along with a 5-HT3 receptor antagonist and corticosteroids to treat both acute and delayed nausea and vomiting associated with chemotherapy. NG tube insertion, radiation therapy, and endoscopy are not typical indications for the use of aprepitant.

Answer to Question 2

D
Feedback:
The normal control value is 25 to 35 seconds; therefore, therapeutic values are 45 to 70 seconds, approximately. A result of 92 seconds is a risk for bleeding, and the dose should be held until approval to administer is provided by the physician. The nurse should not give the next two doses at the same time. The nurse should not give the dose and document the patient's response. The nurse should not check the patient's vital signs and give the dose.