The nurse is caring for a client receiving heparin and warfarin therapy for a pulmonary embolus. The client's international normalized ratio (INR) is 2.0 . What is the nurse's best action?

a. Increase the heparin dose.
b. Increase the warfarin dose.
c. Continue the current therapy.
d. Discontinue the heparin.


D
The client who is being treated for pulmonary embolism usually continues on heparin and warfa-rin until the INR reaches a therapeutic level between 2 and 3 . Heparin can then be discontinued because warfarin is therapeutic.

Nursing

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A female client who has had bipolar disorder for several years decides to stop all of her medications because she is tired of the side effects

She also cancels all appointments with her therapist, stating that it is just too difficult to plan the visits in her hectic schedule. This client is considered: a. Depressed b. Noncompliant c. Suffering from an anxiety disorder d. Possessing obsessive-compulsive tendencies

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The elderly spouse of a female Alzheimer's client states that his wife seems to wander aimlessly from room to room looking for things in incorrect places, such as kitchen utensils in the bedroom and laundry detergent in the kitchen

He asks the nurse for suggestions of what he can do to help her. What is the nurse's best response? a. "Keep rooms well lit." b. "Keep the home environment simple and user-friendly for her." c. "Have clocks and calendars with large letters in several rooms of the house." d. "Place large signs on doors or entryways that identify the room."

Nursing

Ketones are produced when insufficient _____ is available and the body has to metabolize _____ for energy

a. carbohydrate; fat b. fat; carbohydrate c. carbohydrate; protein d. protein; carbohydrate

Nursing

Which assessment information is most important for the nurse to obtain to evaluate whether treatment of a patient with anaphylactic shock has been effective?

a. Heart rate b. Orientation c. Blood pressure d. Oxygen saturation

Nursing