ARCHER - CAT EXAM
The nurse cares for a client who has just been admitted with heparin-induced
thrombocytopenia (HIT). Which of the following medications may have caused this
condition?
A. Epoetin alfa
B. Clopidogrel
C. Copper dextran D. Enoxaparin
D is the correct option. HIT is a severe complication to a client taking heparinoids.
Enoxaparin is low-molecular weight-based heparin (LMWH). Although it is not likely to
cause HIT when compared to unfractionated heparin, the client still runs the risk of
developing HIT.
Choices A, B, and C are incorrect. Epoetin alfa is a colony-stimulating factor indicated for
anemia secondary to renal disease. HIT would not be caused by this medication. An
antiplatelet medication known as clopidogrel has not been linked to HIT. Iron dextran is
utilized in treating anemia and would not be involved in HIT.
The RN is caring for a client who is recovering from carotid endarterectomy. Which
assessment would the nurse recognize as a sign that the client experienced hypoglossal
nerve injury?
A. Detour of the tongue B. Inspiratory stridor
C. Tracheal deviation
D. Severe headache
Choice A is correct. Carotid endarterectomy is a procedure to remove plaque build-up in
the carotid artery to improve blood flow to the brain. Complications following this procedure
include cranial neuropathies, hemodynamic instability, stroke, myocardial infarction, and
hematoma. Hypoglossal nerve damage is one of the most common cranial neuropathies
following carotid endarterectomy and would be displayed as tongue deviation.
Choice B is incorrect. Inspiratory stridor or hoarseness would suggest injury to the
laryngeal nerve.
Choice C is incorrect. A tracheal deviation would suggest possible carotid artery
hemorrhage due to blood collecting and putting pressure on the airway.
D is a false choice. A severe headache following this procedure would suggest cerebral
hyperperfusion syndrome (CHS) due to increased blood flow to the brain and insufficient
cerebrovascular autoregulation.
We have an expert-written solution to this problem!
The client has been prescribed a continuous infusion of heparin for multiple venous
thromboembolism. The nurse understands that the goal of this treatment is to prolong the
A. partial thromboplastin time, 1.5 to 2.5 times the normal control.
B. international normalized ratio, 2 to 3
C. prothrombin time, 1.5 to 2.5 times the normal control.
D. international normalized ratio, 3 to 4
Choice A is correct. The goal for heparin therapy delivered by continuous infusion is to
prolong the partial thromboplastin time, by 1.5 to 2.5 times the normal control value.
The nurse cares for a client who has just been admitted with heparin-induced
thrombocytopenia (HIT). Which of the following medications may have caused this
condition?
A. Epoetin alfa
B. Clopidogrel
C. Copper dextran D. Enoxaparin
D is the correct option. HIT is a severe complication to a client taking heparinoids.
Enoxaparin is low-molecular weight-based heparin (LMWH). Although it is not likely to
cause HIT when compared to unfractionated heparin, the client still runs the risk of
developing HIT.
Choices A, B, and C are incorrect. Epoetin alfa is a colony-stimulating factor indicated for
anemia secondary to renal disease. HIT would not be caused by this medication. An
antiplatelet medication known as clopidogrel has not been linked to HIT. Iron dextran is
utilized in treating anemia and would not be involved in HIT.
The RN is caring for a client who is recovering from carotid endarterectomy. Which
assessment would the nurse recognize as a sign that the client experienced hypoglossal
nerve injury?
A. Detour of the tongue B. Inspiratory stridor
C. Tracheal deviation
D. Severe headache
Choice A is correct. Carotid endarterectomy is a procedure to remove plaque build-up in
the carotid artery to improve blood flow to the brain. Complications following this procedure
include cranial neuropathies, hemodynamic instability, stroke, myocardial infarction, and
hematoma. Hypoglossal nerve damage is one of the most common cranial neuropathies
following carotid endarterectomy and would be displayed as tongue deviation.
Choice B is incorrect. Inspiratory stridor or hoarseness would suggest injury to the
laryngeal nerve.
Choice C is incorrect. A tracheal deviation would suggest possible carotid artery
hemorrhage due to blood collecting and putting pressure on the airway.
D is a false choice. A severe headache following this procedure would suggest cerebral
hyperperfusion syndrome (CHS) due to increased blood flow to the brain and insufficient
cerebrovascular autoregulation.
We have an expert-written solution to this problem!
The client has been prescribed a continuous infusion of heparin for multiple venous
thromboembolism. The nurse understands that the goal of this treatment is to prolong the
A. partial thromboplastin time, 1.5 to 2.5 times the normal control.
B. international normalized ratio, 2 to 3
C. prothrombin time, 1.5 to 2.5 times the normal control.
D. international normalized ratio, 3 to 4
Choice A is correct. The goal for heparin therapy delivered by continuous infusion is to
prolong the partial thromboplastin time, by 1.5 to 2.5 times the normal control value.
