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Author Question: A client is receiving heparin by continuous IV infusion. Which of the following would be most ... (Read 96 times)

khang

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on: Jul 23, 2018
A client is receiving heparin by continuous IV infusion. Which of the following would be most appropriate for the nurse to do?
 
  A) Perform a complete blood count.
  B) Perform baseline PT/INR.
  C) Perform APTT test 4 to 6 hours after injection.
  D) Perform blood coagulation tests every 4 hours.

Question 2

A client is prescribed warfarin. The client also takes a diuretic for the treatment of cardiac problems. The nurse would anticipate which of the following?
 
  A) Decreased effectiveness of the anticoagulant
  B) Increased effectiveness of the diuretic
  C) Increased absorption of the anticoagulant
  D) Increased absorption of the diuretic


AmberC1996

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Reply #1 on: Jul 23, 2018
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.


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khang

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Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


AmberC1996

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Reply #3 on: Jul 23, 2018
Great! Please up vote :D


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