Author Question: In assessing for indications of excessive use of anticoagulants by the client, the nurse monitors ... (Read 58 times)

viki · **on:** Jul 24, 2018

In assessing for indications of excessive use of anticoagulants by the client, the nurse monitors for:

a. protein and white blood cells in urine. c. bruising at the site of lab venipuncture.
b. vomiting bile-colored emesis. d. headache and dizziness.

Question 2

A client is receiving an oral anticoagulant. Before the next dose of an oral anticoagulant, the nurse notes that the prothrombin time (PT) is 32 seconds. The nurse should:

a. plan to administer the next dose.
b. hold the next dose for three hours.
c. reorder the testb because the value is low.
d. notify the health care provider.

uniquea123 · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: D

Feedback
A Incorrect: This does not indicate increased bleeding.
B Incorrect: This does not indicate increased bleeding.
C Incorrect: This does not indicate increased bleeding, because bruising at the site of lab venipuncture is common in all clients.
D Correct: These indicate changes in neurologic status, a sign of increased bleeding.

Answer to Question 2

ANS: D

Feedback
A Incorrect: This is too high a PT result.
B Incorrect: This may be prescribed, but it is not a nursing judgement.
C Incorrect: This is in the realm of the prescriber.
D Correct: For a PT over 30 seconds, the nurse should notify the health care provider.