Difficulty: Medium
Average Score: 64%
Simulated
A nurse is assisting with the care of a client who is receiving a continuous IV infusion of heparin. Which of the following actions should the nurse take?
Correct answer
A
Rationale
Heparin requires aPTT monitoring (e.g., every 6-12 hr) to ensure therapeutic levels. Site changes are less frequent, rate depends on orders, and saline is used, not dextrose.