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    ATI Pharmacology Proctored Exam 1 II
    Select All That Apply

    A nurse is caring for a client who is receiving an IV infusion of heparin.Which of the following findings should indicate to the nurse the client is at risk for hemorrhage? (Select all that apply.)

    Explanation & Rationale

    Choice A rationaleThrombocytopenia indicates low platelet count (normal: 150,000-450,000/µL), increasing bleeding risk. Heparin can induce thrombocytopenia, leading to hemorrhage, hence needs monitoring.Choice B rationaleNeutropenia, low neutrophil count (normal: 1,500-8,000/µL), indicates reduced infection defense. It is unrelated to hemorrhage risk, therefore not a relevant indicator for bleeding.Choice C rationaleHypokalemia indicates low potassium (normal: 3.5-5.0 mEq/L), causing muscle weakness, not directly increasing hemorrhage risk. It does not indicate a bleeding concern.Choice D rationaleHyperglycemia, high blood sugar (normal: 70-140 mg/dL), does not directly relate to bleeding risk. It indicates diabetes management issues but not hemorrhage concern.Choice E rationaleFever indicates infection or inflammation, not directly indicating hemorrhage risk. It may accompany other conditions but doesn't suggest bleeding risk directly.Choice F rationaleDark stools indicate gastrointestinal bleeding, as heparin increases bleeding risk. Monitoring stool color helps identify internal bleeding, crucial for timely intervention.

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