Difficulty: Medium
Average Score: 88%
Simulated
Passage / Scenario
Read orders by the prescriber and answer the question.Prescriber's orders
Labs: PT, PTT, INR
Unsupervised ambulation every 1 hr
Give protamine sulfate STAT
Give Aspirin orally daily
Continue unrestricted regular diet
Give vitamin K STAT
Initiate bleeding precautions
A nurse is admitting a client who has been in Atrial Fibrillation for 24 hours. Which of the following interventions does the nurse plan to complete?
Correct answer
A,B,C,D
Rationale
For atrial fibrillation over 24 hours, anticoagulation (heparin, Coumadin) is planned to prevent thromboembolism, labs monitor clotting, and vitamin K reverses anticoagulation if needed.