A client is diagnosed with a pulmonary embolism (PE) and is... | NCLEX RN-Readiness Assessment Test-2

Practice Question

A client is diagnosed with a pulmonary embolism (PE) and is scheduled to start intravenous heparin. Which lab panel is the priority to assess before initiating the medication?

Answer Choices:

A. Complete blood count

B. Complete metabolic panel

C. Coagulation studies ✓ Correct Answer

D. Liver enzymes

Correct Answer:

Coagulation studies

Rationale:

🩺Baseline coagulation studies (especially activated partial thromboplastin time) are required to determine the starting dose and monitor the therapeutic effect of heparin.

⏳Heparin’s primary action is to prolong clotting time, so knowing the client’s baseline clotting status prevents overdosing or underdosing.

📊Periodic coagulation monitoring ensures the aPTT remains within the therapeutic range, reducing the risk of bleeding or thrombosis.

🩸While a CBC is important for platelet counts, the immediate priority is to assess clotting function before heparin administration.

📌Core Message

Obtain baseline coagulation studies to safely initiate heparin therapy.

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This question is from NCLEX RN-Readiness Assessment Test-2 which contains 106 questions.

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NCLEX RN-Readiness Assessment Test-2

106 Questions

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Question Details

Category: NCLEX RN
Subcategory: NCLEX RN- Readiness Assessment Tests
Domain: NCLEX RN- (Readiness Assessment Test)
Answer Choices: 4

Rhenis Nursing

Practice Question

A client is diagnosed with a pulmonary embolism (PE) and is scheduled to start intravenous heparin. Which lab panel is the priority to assess before initiating the medication?

Correct Answer:

Rationale:

Want to practice more questions like this?

More Questions from This Exam

The nurse is planning care for a client with intra-arterial blood pressure monitoring of the right radial artery. Which of the following interventions should the nurse include in the client's plan of care?

The nurse is caring for a 10-year-old client with hearing loss. Which of the following would best facilitate communication with the client?

A registered nurse is delegating tasks to an unlicensed assistive personnel when caring for a client with hypoglycemia. Which tasks should the nurse assign the UAP? Select all that apply

A nurse has taught clients at a teaching center about multiple changes to decrease the risk of developing hypertension. Which of the following statements by a female client would indicate a correct understanding of the teaching?

A nurse is caring for a client experiencing alcohol withdrawal. Which of the following orders should the nurse anticipate? Select all that apply

From Exam

NCLEX RN-Readiness Assessment Test-2

Question Details

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