A nurse is assessing a client who is receiving heparin via continuous IV. The client has...

A nurse is assessing a client who is receiving heparin via continuous IV. The client has an aPTT of 90 seconds. The nurse should monitor the client for which of the following changes in their vital signs?

-Decreased temperature

-Decreased respiratory rate

-Increased pulse rate

-Increased blood pressure

Solutions

Expert Solution

Answer - Client receiving Heparin and aPTT is 90 second than nurse should monitor change in pulse rate which will be increase due to bleeding and blood pressure become low. If aPTT is increase than patient monitor for bleeding gums, nose bleed, haematuria etc. It cause decrease blood pressure and pulse rate become increase due to compensation for this.

So here correct answer is increase pulse rate.

Nightingale answered 1 year ago

Next > < Previous

Related Solutions

The nurse is caring for a client who is receiving heparin sodium intravenously as a continuous...

The nurse is caring for a client who is receiving heparin sodium intravenously as a continuous infusion. Which laboratory finding requires immediate nursing intervention? 1. Platelet count of 100,000 mm3 (100 × 109/L) 2. Red blood cell count of 4.2 cells (4.2 × 1012/L) 3. International normalized ratio (INR) of 1.2 (1.2) 4. Activated partial thromboplastin time (aPTT) of 60 seconds (60 seconds) Select the best answer.

a nurse is monitoring a client who has dehydration and is receiving iv fluid replacementwhich of...

a nurse is monitoring a client who has dehydration and is receiving iv fluid replacementwhich of the following findings should the nurse identify as effectiveness of the treatment

A nurse is suctioning the airway of a client who is receiving mechanical ventilation via an...

A nurse is suctioning the airway of a client who is receiving mechanical ventilation via an endotracheal tube. Which of the following findings should the nurse identify as an indication that the suctioning has been effective? Presence of productive cough Flattening of the artificial airway cuff Thinning of mucous secretions Decreased peak inspiratory pressure A nurse is performing a gait assessment on a client to evaluate the client’s ability to perform ADLs. Which of the following findings indicates standard gait?...

A client who weighs 175 pounds is receiving an IV bolus dose of Heparin 80 units/kg....

A client who weighs 175 pounds is receiving an IV bolus dose of Heparin 80 units/kg. The Heparin is available in a 2mL vial, labeled 10,000 units/mL. How many mL should the nurse administer? (If rounding, round to the nearest tenth). Please show your work.

A nurse is assessing a client after administering phenytoin IV bolus for a seizure. Which of...

A nurse is assessing a client after administering phenytoin IV bolus for a seizure. Which of the following should the nurse identify as an adverse effect of this medication? A. Hypoglycemia B. Red man syndrome C. Bradycardia D. Hypotension 66. A nurse is planning to administer medication to an older adult client who has dysphagia. Which of the following actions should the nurse plan to take? A. Tilt the client’s head back when administering the medications B. Administer more than...

A nurse is to administer prescribed heparin of 30 units/kg IV bolus before starting the continuous...

A nurse is to administer prescribed heparin of 30 units/kg IV bolus before starting the continuous infusion. Heparin 500 units/ml is available. The client weighs 200 pounds, How many milliliter of heparin bolus should the nurse administer. answer in 2 decimal place.

4. An adult who is receiving heparin asks the nurse why it cannot be given by...

4. An adult who is receiving heparin asks the nurse why it cannot be given by mouth. The nurse responds that heparin is given parenterally, because A. it irritates gastric mucosa. B. it irritates the intestinal mucosa. C. it is destroyed by gastric secretions. D. therapeutic levels can be achieved more quickly.

A nurse is caring for a client who is receiving an epidural block with an opioid...

A nurse is caring for a client who is receiving an epidural block with an opioid analgesic. The nurse should monitor for which of the following findings as an adverse effect of the medication? A. Hypnosis B. Polyuria C. Bilateral crackles Hyperglycemia

A nurse is caring for a client who is receiving chemotherapy and reports a loss of...

A nurse is caring for a client who is receiving chemotherapy and reports a loss of appetite. Which of the following strategies should the nurse recommend to increase the client's protein intake? A. Use honey on toast B. Mix granola with fruits C. Grate cheese into soups D. Add mayonnaise to salads

The nurse is caring for a client who has been receiving supplemental oxygen for hypoxia secondary...

The nurse is caring for a client who has been receiving supplemental oxygen for hypoxia secondary to pneumonia. Which laboratory data suggests that the client's oxygen flow rate can be safely decreased? A. PaO2 108 mmHg B. pH 7.39 C. PaCO2 45 mmHg D. HCO3 24 mEq/liter

Subjects