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.
The nurse cares for the postop client in the postanesthesia care unit (PACU).
Use a step stool to help an infirm client get on and off the table.
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Use face cradle covers to prevent the client’s skin from touching the face cradle upholstery.
Measuring the client’s height with a platform scale
Positioning of client