A nurse is caring for a client prescribed Heparin. Which nur… | MyMerci
NCLEX-RNPPT
Question
A nurse is caring for a client prescribed Heparin. Which nursing action is most appropriate regarding monitoring aPTT levels and preparing protamine sulfate as an antidote?
1Monitor vital signs and assess laboratory values prior to administration.✓ Correct answer
2Administer the medication with a full glass of water every morning.
3Instruct the client to report any unexpected side effects immediately.
4Verify the prescription details with the healthcare provider.
Explanation
When administering Heparin, key nursing considerations include monitoring patient status, checking critical laboratory values, and providing appropriate safety education. Unsafe practices such as stopping medications abruptly or doubling missed doses are incorrect.