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.
A nurse adjusts the rate of a client’s IV.
Nurse examining and measuring hematuria sample from client with a UTI
Pima Indian woman receiving an eye exam.
Client and therapist positioning for foot reflexology.
Building a Client Base
Testing the client’s ability to feel vibrations, the knee