A pt is being treated with heparin therapy for a PE. The pt has the potential for bleeding with the administration of heparin. What does the nurse monitor in relation to the heparin therapy?
a. lab values for any elevation of PT or PTT value
b. PTT values for greater than 2.5 times the control and/or the pt for bleeding
c. occurrence of a pulmonary infarction by blood in sputum
d. PT values for international normalized ratio for a therapeutic range of 2-3 and/or the pt for bleeding
Answer: b. PTT values for greater than 2.5 times the control and/or the pt for bleeding
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A nurse is discussing the difference between stable and variant angina with a group of nursing students. Which statement by a student indicates the need for further teaching?
a. "Beta blockers are effective in stable an-gina but not in variant angina." b. "In both types of angina, prophylactic treatment is possible." c. "Variant angina is primarily treated with vasodilators to increase oxygen supply." d. "Variant angina is the result of increased oxygen demand by the heart."
A patient tells the nurse about taking large doses of vitamin A for skin health. What should the nurse respond to this patient?
1. "That is a great idea." 2. "That will not benefit your skin. You excrete high doses of vitamin A in your urine." 3. "You should take vitamin C to balance the large dose of A." 4. "Too much vitamin A can be toxic to your body."
Phlebitis is:
a. Inflammation of a vein b. Trauma c. A thrombus d. A closed wound
The nurse working on the burn unit is interested in understanding the degree of a burn upon admission and the rate of renal compromise. Which step should the nurse take next?
a. Complete a literature review. b. Develop a clinical question that can guide further research. c. Work with a medical librarian to identify key words. d. Join the policy and procedure committee to evaluate care in the hospital.