The nurse is caring for a client who is experiencing excessive bleeding after receiving unfractionated heparin. What orders does the nurse anticipate from the health care provider? (Select all that apply.)

a. Laboratory draw for activated partial thromboplastin time (aPTT)
b. Administer vitamin K
c. Laboratory draw for prothrombin time (PT)/international normalized ratio (INR)
d. Administer protamine sulfate
e. Administer enoxaparin (Lovenox)


A, D
Protamine sulfate is the antidote for heparin-induced bleeding. Vitamin K is the antidote for warfarin. Warfarin (Coumadin) would increase bleeding. Enoxaparin is another name for heparin.

Nursing

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The registered nurse has had recent difficulty finishing and documenting client care during the assigned shift. The nurse manager has repeatedly discussed overtime abuses with the nurse. The nurse has historically had very good appraisals

Which of the following would be the best approach to correct recent behaviors? 1. Provide education. 2. Simplify tasks. 3. Clarify expectations. 4. Reassign the nurse to another unit.

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The client who is being treated for endometritis is placed in Fowler's position because it:

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The nurse teaches a class on reproduction for adolescents and explains that which female reproductive organs engorge and become sensitive during stimulation? Select all that apply

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A child is diagnosed with pinworms. Which anthelmintic drug will the provider order for this child?

a. Bithionol (Bitin) b. Diethylcarbamazine (Hetrazan) c. Mebendazole (Vermox) d. Praziquantel (Biltricide)

Nursing