Author Question: The client is receiving heparin (Heplock). The nurse will monitor which laboratory results to ... (Read 58 times)

Zoey63294 · **on:** Jul 24, 2018

The client is receiving heparin (Heplock). The nurse will monitor which laboratory results to evaluate therapeutic response?

1. INR
2. aPTT
3. BNP
4. PT

Question 2

The client is receiving warfarin (Coumadin). Which laboratory result will the nurse monitor to evaluate the therapeutic response?

1. PT
2. PT and INR
3. BNP
4. aPTT

krakiolit · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

Correct Answer: 2

Rationale 1: INR is incorrect because it should be monitored for a client receiving Coumadin therapy.
Rationale 2: To avoid serious adverse effects, drug therapy with coagulation-modifier drugs is individualized to each patient and must be carefully monitored. For heparin, the activated partial thromboplastin time (aPTT) is used.
Rationale 3: BNP is incorrect because this lab result does not pertain to clotting.
Rationale 4: PT is incorrect because it should be monitored for a client receiving Coumadin therapy.

Global Rationale: To avoid serious adverse effects, drug therapy with coagulation-modifier drugs is individualized to each patient, and must be carefully monitored. For heparin, the activated partial thromboplastin time (aPTT) is used. PT and INR is incorrect because they should be monitored for a client receiving Coumadin therapy. BNP is incorrect because this lab result does not pertain to clotting.

Answer to Question 2

Correct Answer: 2

Rationale 1: PT is incorrect because it should be monitored with INR for a client receiving Coumadin therapy.
Rationale 2: PT and INR should be monitored for a client receiving Coumadin therapy.
Rationale 3: BNP is incorrect because this lab result does not pertain to clotting.
Rationale 4: aPTT is incorrect because this should be monitored for a client receiving heparin therapy.

Global Rationale: PT and INR should be monitored for a client receiving Coumadin therapy. PT is incorrect because it should be monitored with INR for a client receiving Coumadin therapy. BNP is incorrect because this lab result does not pertain to clotting. aPTT is incorrect because this should be monitored for a client receiving heparin therapy.