A client is prescribed intermittent intravenous heparin therapy ...

[crazycityslicker]

A client is prescribed intermittent intravenous heparin therapy to treat deep vein thrombosis (DVT). Which laboratory value should the nurse review prior to administering this medication?
 
  1. Prothrombin time (PT)
  2. Fibrinogen level
  3. Activated partial thromboplastin time (APTT)
  4. Factor VIII level

Question 2

A clinic nurse is developing a teaching handout for clients who are prescribed warfarin (Coumadin) therapy. Which statements should be included in this information?
 
  Standard Text: Select all that apply.
  1. Tell your dentist you are taking warfarin prior to any procedures.
  2. Report to the lab for testing of activated partial thromboplastin time (APTT).
  3. Avoid strenuous activities.
  4. Place ice at the injection site if stinging or burning occurs.
  5. Take nonsteroidal anti-inflammatories (NSAIDs) for minor pain relief.

[tofugiraffe]

Answer to Question 1

Correct Answer: 3
Rationale 1: Prothrombin time (PT) measures the effectiveness of warfarin (Coumadin) therapy.
Rationale 2: Fibrinogen level is not used to evaluate heparin therapy.
Rationale 3: APTT measures the effectiveness of heparin therapy.
Rationale 4: Factor VIII level is used to evaluate treatment for hemophilia.
Global Rationale: APTT measures the effectiveness of heparin therapy. Prothrombin time (PT) measures the effectiveness of warfarin (Coumadin) therapy. Fibrinogen level is not used to evaluate heparin therapy. Factor VIII level is used to evaluate treatment for hemophilia.

Answer to Question 2

Correct Answer: 1,3
Rationale 1: Warfarin increases the risk of bleeding from dental procedures.
Rationale 2: APTT is not used to monitor warfarin.
Rationale 3: Strenuous or risky activities place the client at risk for injury and bleeding.
Rationale 4: Warfarin is not administered by injection.
Rationale 5: NSAIDs can cause bleeding if taken concurrently with warfarin.
Global Rationale: Warfarin increases the risk of bleeding from dental procedures. Strenuous or risky activities place the client at risk for injury and bleeding. APTT is not used to monitor warfarin. Warfarin is not administered by injection. NSAIDs can cause bleeding if taken concurrently with warfarin.

[crazycityslicker]

Both answers were spot on, thank you once again

[tofugiraffe]

Great! Please up vote