Author Question: A client is receiving a heparin infusion. The nurse should check the needle site for the heparin ... (Read 69 times)

KimWrice · **on:** Jul 23, 2018

A client is receiving a heparin infusion. The nurse should check the needle site for the heparin infusion for signs of which of the following? Select all that apply.

A) Inflammation
B) Pain
C) Tenderness
D) Clot formation
E) Itching

Question 2

When teaching a class about parenterally administered heparin, which of the following would the nurse include? Select all that apply.

A) Onset of action is almost immediate.
B) Maximum effect occurs within 10 minutes.
C) It is preferably given intramuscularly.
D) Clotting time returns to normal within 4 hours.
E) It causes fewer adverse reactions than the oral form.

zoeyesther · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Ans: A, B, C
Feedback:
The nurse inspects the needle site for signs of inflammation, pain, and tenderness along the pathway of the vein. If these occur the infusion is discontinued and restarted in another vein.

Answer to Question 2

Ans: A, B, D
Feedback:
Parenteral heparin results in an almost immediate onset of action with a maximum effect within 10 minutes, but clotting returns to normal within 4 hours unless subsequent doses are given. It is preferably given subcutaneously or intravenously.