A client is receiving an intravenous heparin drip. Which laboratory value will require immediate action by the nurse?
a. Platelet count of 150,000
b. Activated partial thromboplastin time (aPTT) of 120 seconds
c. INR of 1.0
d. Blood urea nitrogen (BUN) level of 12 mg/dL
Answer: b. Activated partial thromboplastin time (aPTT) of 120 seconds
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A patient has been prescribed an oral drug that is known to have a high first-pass effect. Which of the following measures has the potential to increase the amount of the free drug that is available to body cells?
A) Giving the drug with food in order to delay absorption B) Administering the drug in small, frequent doses C) Limiting the patient's protein intake and encouraging fluids D) Administering the drug intravenously rather than orally
Which of these nursing activities can protect the nurse from radiation exposure?
a. washing hands before applying gloves b. wearing fluid-repellant cover gowns c. covering the client with a lead apron d. reducing the amount of time spent in client contact
A 62-year-old teacher presents to the clinic for evaluation of the following symptoms: fever, headache, sinus congestion, sore throat, green nasal discharge, and cough. This cluster of symptoms is best explained by:
A) One disease process B) More than one disease process
While auscultating the heart of a 5-year-old child, the nurse notes a murmur that is soft and quiet and heard each time the heart is auscultated. The nurse documents this finding as what grade?
A) Grade 1 B) Grade 2 C) Grade 3 D) Grade 4