To assess the effectiveness of heparin therapy the nurse looks up what lab value?

a. prothrombin time (PT) c. vitamin K plasma concentration
b. partial thromboplastin time (PTT) d. bleeding time


ANS: B

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A Incorrect: PT is used to monitor warfarin.
B Correct: PTT is used to monitor heparin.
C Incorrect: This is not used to monitor heparin.
D Incorrect: This is not used to monitor heparin.

Nursing

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The nurse is providing care for a teenage mother expressing ambivalence about her new role as a parent. Which of the following responses by the nurse is best?

a. "Parenthood is certainly not for everyone, you shouldn't feel guilty about that." b. "I'll call the social worker so you can discuss adoption." c. "Tell me more about how you feel when you hold the baby." d. "I'm sure your own parents felt the same way when you were small, you should talk to your mom."

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The hospice nurse instructs the family that they have access to a hospice pharmacist, who is available for consultation on the drugs the hospice patient may be taking and who will:

a. provide all drugs necessary for pain alleviation. b. evaluate drug interactions with food and other medications. c. evaluate the safety of the drug storage in the patient's home. d. monitor drug effectiveness by frequent phone interviews with the family.

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A health care provider has ordered an MRI (magnetic resonance imaging) of the liver. The nurse's first action is to

a. prepare the patient psychologically and physically for the procedure. b. monitor the patient's response to the procedure. c. assess the patient after the procedure. d. inform the patient's family of the results.

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A cultural assessment should be done:

A) on every client to whom the nurse is assigned. B) before developing a nursing care plan. C) when the client's beliefs may impact care. D) when the client is from a another country.

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