The nurse would question which of the following prescriptions for a client receiving subcutaneous heparin?
a. discontinue cefotriaxone c. administer 10,000 units of heparin SC
b. discontinue digoxin d. PTT in the morning
ANS: B
Feedback
A Incorrect: Cephalosporins interact with heparin, so this prescription is appropriate.
B Correct: Because of digoxin's positive inotropic action in treating heart failure, this drug should not be discontinued, even though it may decrease the effects of heparin. The heparin dose should be increased to compensate.
C Incorrect: This is a standard prescription for SC heparin.
D Incorrect: This is the lab test used to measure heparin effectiveness.
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