A patient has had recent mechanical heart valve surgery and is receiving anticoagulant therapy. While monitoring the patient™s laboratory work, the nurse interprets that the patient™s international normalized ratio (INR) level of 3 indicates that:

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Question 1 of 5

A patient has had recent mechanical heart valve surgery and is receiving anticoagulant therapy. While monitoring the patient™s laboratory work, the nurse interprets that the patient™s international normalized ratio (INR) level of 3 indicates that:

Correct Answer: B

Rationale: An international normalized ratio (INR) level of 3 is within the recommended therapeutic range for patients on anticoagulant therapy, particularly those with mechanical heart valve surgery. The target INR range for patients with mechanical heart valves is typically between 2.5 to 3.5. An INR of 3 indicates that the patient™s warfarin dose is at the appropriate therapeutic levels to prevent blood clots while minimizing the risk of bleeding complications. It is essential to closely monitor and adjust the patient's warfarin dose based on their INR levels to maintain a balance between preventing clot formation and avoiding excessive bleeding.

Question 2 of 5

A neighbor tells nurse Maureen he has to have surgery and is reluctant to have any blood product transfusions because of a fear of contracting an infection. He asks the nurse what are his options. The nurse teaches the person that the safest blood product is:

Correct Answer: C

Rationale: An autologous blood product is the safest option for the neighbor who is reluctant to have blood transfusions due to a fear of contracting an infection. Autologous blood is blood that is donated by the patient themselves prior to surgery. This type of blood product eliminates the risk of transmitting infections from other donors, as the blood comes from the patient's own body. It is considered the safest option for those concerned about infection transmission during blood transfusions.

Question 3 of 5

What is the Therapeutic E昀昀ects of Lithium?

Correct Answer: A

Rationale: Lithium is primarily used as a mood stabilizer in the treatment of bipolar disorder. One of the therapeutic effects of lithium is its ability to prevent or decrease the incidence of acute manic episodes in individuals with bipolar disorder. By regulating neurotransmitter levels and affecting intracellular signaling pathways, lithium helps to stabilize mood and prevent the extreme highs of mania. It does not have a direct effect on blood glucose maintenance, control of hyperglycemia, or seizure activity, which are unrelated to its primary mechanism of action in managing mood disorders.

Question 4 of 5

When a company develops a new drug and gives it an official name, this name is the _____.

Correct Answer: A

Rationale: When a company develops a new drug and gives it an official name, this name is the brand name. The brand name is the unique name that the company chooses to market the drug under, often for trademark purposes. It is typically a more catchy and recognizable name compared to the generic name of the drug, which is based on the drug's active ingredients. The brand name is used for marketing and promoting the drug to consumers and healthcare professionals. Examples of brand names include Advil, Tylenol, and Viagra.

Question 5 of 5

A newly admitted client takes digoxin 0.25 mg/day. The nurse knows that which is the serum therapeutic range for digoxin?

Correct Answer: C

Rationale: The therapeutic range for serum digoxin levels is typically considered to be between 1.0 to 2.5 ng/mL. This range allows for optimal therapeutic effects while minimizing the risk of toxicity. Levels below 1.0 ng/mL may be subtherapeutic, while levels above 2.5 ng/mL may increase the risk of toxicity, leading to adverse effects such as arrhythmias, nausea, vomiting, and visual disturbances. Therefore, maintaining the digoxin level within the range of 1.0 to 2.5 ng/mL is crucial for safe and effective therapy.

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