Author Question: Which tests will the nurse evaluate after the physician makes an adjustment in a patient's heparin ... (Read 49 times)

asd123 · **on:** Jul 23, 2018

Which tests will the nurse evaluate after the physician makes an adjustment in a patient's heparin dose in order to determine the effect of the change?

a. aPTT
b. PT
c. INR
d. DIC panel

Question 2

A 56-year-old patient has had late-onset type 2 diabetes (NIDDM) for the past 5 years. He has been taking a variety of oral hypoglycemic agents, but his blood sugar level is getting higher. He comes in today with blurred vision, lethargy, polyuria,

polyphagia, and polydipsia. Which therapy is the doctor most likely to recommend?
a.
Switching to another oral hypoglycemic agent because the patient has developed insulin resistance
b.
Switching to another oral hypoglycemic agent because the patient has developed the Somogyi effect
c.
Switching to another oral hypoglycemic agent because the patient has developed an allergy to the product
d.
Switching to insulin because the oral pills have been ineffective

aruss1303 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: A
The dose of heparin is adjusted based on the activated partial thromboplastin time (aPTT) result, determined from blood drawn 8 hours after the start of heparin infusion.

Answer to Question 2

ANS: D
Patients with type 2 diabetes may require insulin because of oral antidiabetic agent failure or to give an additional glucose-lowering effect.