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.
Client on IV patient-controlled analgesia (PCA).
A nurse adjusts the rate of a client’s IV.
The surgical nurse assists the client into the correct position
Mechanical ventilation. The photograph shows a patient receiving breathing assistance by the use of
Example of simplified note for one-time client.
Apply the substance to the client’s upper chest.