The nurse checks the coagulation studies on a client who is not ...

[mmm]

The nurse checks the coagulation studies on a client who is not receiving any type of anticoagulant therapy. Which finding should be reported to the physician?
 
  1. Platelet count is 250,000 mm3.
  2. APTT is 25 seconds.
  3. INR is 2.5.
  4. Prothrombin time is 20 seconds.

Question 2

A client is having a D-dimer test completed. What preparation should the nurse provide for this client before the test? (Select all that apply.)
 
  1. Monitor vital signs.
  2. Keep on strict bedrest.
  3. Report unexplained bleeding.
  4. Position in the prone position.
  5. Keep on nothing by mouth status.

[helenmarkerine]

Answer to Question 1

Answer: 4

1. Platelets are 150,000-450,000 mm3.
2. A normal APTT is 25-35 seconds.
3. A normal INR is 2.0-3.0.
4. A prothrombin time of 20 seconds is prolonged.

Answer to Question 2

Answer: 1, 3

1. Vital signs should be monitored for this test.
2. Strict bedrest is not required for the D-dimer test.
3. The nurse should report manifestations such as unexplained bleeding.
4. The prone position is not required for this test.
5. No food or fluid restriction is required for the D-dimer test.