Answer to Question 1
Ans: D
Feedback:
The nurse should perform blood coagulation tests every 4 hours for the client receiving heparin by continuous IV infusion. A blood count test or the baseline PT/INR test is not the right intervention for this client. When administering heparin by the subcutaneous route, an APTT test is performed 4 to 6 hours after the injection.
Answer to Question 2
Ans: A
Feedback:
The nurse should monitor for decreased effectiveness of warfarin as an effect of the interaction between the anticoagulant and the diuretic. The nurse need not monitor for the increased effectiveness of the diuretic, the increased absorption of the anticoagulant, or the increased absorption of the diuretic in the client.
Patient receiving ultrasound treatment to the left elbow.
Establishing a caring and trusting relationship helps the client come to terms with a terminal illne
Injecting an IV push (bolus) medication; B, into a primary infusion line
The nurse applies a pulse oximeter sensor on the client’s finger.
Client receiving hemodialysis.
Testing the Achilles tendon reflex with client in a sitting position