The nurse is caring for an acutely ill patient who is on anticoagulant therapy. The patient has a comorbidity of renal insufficiency. How will this patient's renal status affect heparin therapy?
A) Heparin is contraindicated in the treatment of this patient.
B) Heparin may be administered subcutaneously, but not IV.
C) Lower doses of heparin are required for this patient.
D) Coumadin will be substituted for heparin.
Ans: C
Feedback:
If renal insufficiency exists, lower doses of heparin are required. Coumadin cannot be safely and effectively used as a substitute and there is no contraindication for IV administration.
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The cognitive domain in emotional intelligence describes
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