1. A pt. is on heparin drip for DVT L leg. Which lab is a potential complication of heparin
therapy?
- K 3.6
- Hgb 14.5
- aPTT 65 seconds
- Platelets
... [Show More] 75,000 - Platelets 75,000
1. Which of the following interventions is appropriate with treating a child dx hemophilia
with hemarthrosis?
- Administering Tylenol rectal suppositories prn for pain
- Administering the missing blood clotting factors
- Administering ibuprofen prn for pain
- Administering enoxaparin - Administering the missing blood clotting factors
1. A nursing intervention with a pt. with lymphoma whose platelet count is 18,000 due to
chemo is:
- Check all stools for occult blood
- Provide oral hygiene every 2 hours
- Encourage fluids to 3000ml/day
- Check pt.'s temperature every 4 hours - Check all stools for occult blood
1. The client diagnosed with PE is in the ICU. Which data would need immediate
intervention?
- O2 sat of 88%
- The client's telemetry occasionally exhibits PVCs
- The client's ABGs are pH 7.36, PCO2 38, HCO3 24
- Urine output for the 12-hour shift is 800ml - O2 sat of 88%
1. A patient with a left femoral DVT is started on warfarin. What lab should the nurse
monitor?
- aPTT
- Platelets
- INR
- Bleeding time - INR
1. The nurse is teaching a pt. with thrombocytopenia. Which of the following is
appropriate?
- Instruct pt. to dab his nose instead of blowing
- Instruct pt. to continue with usual activities to prevent DVT
- Tell the pt. to be careful when shaving with a razor
- Encourage pt. to take aspirin which will mask fever that occurs w/low platelets -
Instruct pt. to dab his nose instead of blowing1. A pt. is receiving continuous IV heparin for tx of a DVT, has a aPTT of 110 seconds.
What should the RN do?
- Continue the infusion no change
- Re draw the aPTT stat
- Increase the drip rate per protocol
- Hold the infusion for 1 hour and decrease rate per protocol - Hold the infusion for 1
hour and decrease rate per protocol
1. The pt. is at risk for developing at DVT post-op. Which would the nurse NOT include
in the pt's plan of care?
- Encourage the pt. to eat all meals OOB in a chair
- The nurse will administer enoxaparin subq in the abdomen
- The nurse will apply SCDs to the pt's lower extremities at bedtime
- The pt. will ambulate daily - The nurse will apply SCDs to the pt's lower extremities at
bedtime
1. Based on Virchow's Triad, which patient is at risk for DVT due to endothelial
damage?
- 70 y/o pt. with severe sepsis
- 65 y/o female post-op day 1 after joint replacement surgery
- 25 y/o male who uses intravenous drugs
- Post-partum pregnant pt. - 25 y/o male who uses intravenous drugs
A lactating woman has developed thromboembolism. Which drug should be prescribed
if she wishes to continue breast-feeding?
1.Aspirin
2.Heparin
3.Dicumarol
4.Phenindione - 2 [Show Less]