NSG 229 EXAM 4 QUESTIONS WITH COMPLETE SOLUTIONS.

NSG 229 EXAM 4 QUESTIONS WITH COMPLETE
SOLUTIONS

, NSG 229 EXAM 4 QUESTIONS WITH COMPLETE SOLUTIONS




A patient was started on intravenous (IV) heparin at 1200 pm. When will the nurse
assess the activated thromboplastin time (aPTT)? -- Answer ✔✔ 1800- a PTT should be
assessed every 4-6 hours after giving heparin to ensure adequate dosing. Values should
be 1.5-2 times of the patient's baseline.



For which patient would the nurse anticipate administering heparin? -- Answer ✔✔
Patient dx with a-fib due to high risk for blood clots. Heparin prevents formation of
blood clots



The nurse is preparing to administer heparin intravenously (IV). Which response by the
nurse would be appropriate when the patient asks when the medication will start
working? -- Answer ✔✔ 5-10 mins



A nurse is preparing to administer heparin intravenously (IV) to a patient who was
admitted with an acute pulmonary embolus. Which response by the nurse is appropriate
when the patient asks why the drug is given IV rather than orally? -- Answer ✔✔
Heparin is poorly absorbed by the GI tract and not available in oral form. It is given IV
or SQ.



The nurse is preparing to administer unfractionated heparin to three patients. Which
patient would the nurse be most concerned about when administering heparin? --
Answer ✔✔ Patient with activated thromboplastin time value of 98 seconds.