283 - TRANSITION TO REGISTERED
NURSE PRACTICE WITH COMPLETE
AND COMPLETE ANSWERS
, Details on inserting NG tube for gastric decompression -
pg. 1013 Saunders - - CORRECT ANSWERS-✦ patient
should be in high-fowlers position
✦ measure & tape tube to indicate length to be inserted
✦ lubricate tip before inserting in nasopharynx &
advancing
✦ as tube enters back of throat - have pt swallow sip of
water (unless contraindicated) - flex head toward chest
while passing tube down throat into the stomach
✦ secure tube
✦ confirm placement w/ x-ray
✦ connect to suction
Patients experiencing a PE - heparin therapy is
prescribed for at least 5 days - warfarin is also started
on most patients on day 1 or 2 of heparin therapy - the
patient will receive both heparin & warfarin until the INR
reaches 2-3. Heparin is infused for 24 hours after the
INR is greater than 2, then the Heparin is discontinued.
The overlap period of at least 5 days for Warfarin &
Heparin is necessary because the drug action of each is
different. Warfarin works in the liver to inhibit the
synthesis of Vit K-dependent clotting factors and takes
3-4 days before a therapeutic effect is realized. -
CORRECT ANSWERS-
As an entry level nurse, it is important that you
understand monitoring of lab values for patient
prescribed anticoagulants such as Heparin and
Warfarin. What are normal values for PT/INR, PTT and
NURSE PRACTICE WITH COMPLETE
AND COMPLETE ANSWERS
, Details on inserting NG tube for gastric decompression -
pg. 1013 Saunders - - CORRECT ANSWERS-✦ patient
should be in high-fowlers position
✦ measure & tape tube to indicate length to be inserted
✦ lubricate tip before inserting in nasopharynx &
advancing
✦ as tube enters back of throat - have pt swallow sip of
water (unless contraindicated) - flex head toward chest
while passing tube down throat into the stomach
✦ secure tube
✦ confirm placement w/ x-ray
✦ connect to suction
Patients experiencing a PE - heparin therapy is
prescribed for at least 5 days - warfarin is also started
on most patients on day 1 or 2 of heparin therapy - the
patient will receive both heparin & warfarin until the INR
reaches 2-3. Heparin is infused for 24 hours after the
INR is greater than 2, then the Heparin is discontinued.
The overlap period of at least 5 days for Warfarin &
Heparin is necessary because the drug action of each is
different. Warfarin works in the liver to inhibit the
synthesis of Vit K-dependent clotting factors and takes
3-4 days before a therapeutic effect is realized. -
CORRECT ANSWERS-
As an entry level nurse, it is important that you
understand monitoring of lab values for patient
prescribed anticoagulants such as Heparin and
Warfarin. What are normal values for PT/INR, PTT and
