The nurse caring for a client receiving heparin (Hep-Lock) monitors the patient for what serious complication that occurs in up to 30% of patients taking the drug?
1. Tachycardia
2. Hypotension
3. Angioedema
4. Heparin-induced thrombocytopenia (HIT)
4
Rationale 1: Tachycardia is not a side effect of heparin.
Rationale 2:Hypotension is not a side effect of heparin.
Rationale 3: Angioedema is not a side effect of heparin.
Rationale 4: Heparin-induced thrombocytopenia (HIT) is a serious complication that occurs in up to 30% of patients taking the drug.
Global Rationale: Heparin-induced thrombocytopenia (HIT) is a serious complication that occurs in up to 30% of patients taking the drug. The patient may experience serious and even life-threatening thrombosis. Abnormal bleeding is common during heparin therapy. Tachycardia, hypotension, and angioedema are not side effects of heparin.
You might also like to view...
When caring for a multiple-organ trauma victim, the nurse must prevent early complications of
A) sepsis. B) head injuries. C) hemorrhage. D) Both b and c are correct.
HIPAA (Health Information Portability and Accountability Act) requires that: (Select all that apply.)
a. healthcare records be available electronically by 2014. b. healthcare providers keep an audit trail of access to an individual's record and provide copies of the individual's record upon request. c. specific privacy and security measures must be used in all electronic health records. d. healthcare providers must be able to electronically exchange health records by 2014. e. healthcare providers must be able to electronically exchange lab data by 2014.
The nurse is providing care while adhering to safety as a Joint Commission Dimension of Quality Performance. Which of the following did the nurse provide to the client?
1. Using a needleless device when providing intravenous medications 2. Keeping the siderails of the bed in the down position after providing a pain medication to a client 3. Having the client sit in a wheelchair with the wheels in the unlocked position 4. Placing cloth towels over a spill in the room of an ambulatory client
The nursing practice standards for the LPN/LVN wishing to be able to participate in initiating IV therapy state that the LPN/LVN shall:
1. Successfully pass the National Council Licensure Exam. 2. Graduate from an accredited school of nursing. 3. Present evidence of having completed a course that is approved to provide the skills and knowledge necessary to perform this specialized task. 4. Seek and participate in continuing education opportunities.