Specializes in med/surg, telemetry, IV therapy, mgmt.
after giving a sub q heparin injection, which would require the nurse to contact the md...
a. a bp of 90/48
b. abdominal bruising
i would answer "a". abdominal bruising is usually expected side effect with heparin. a diastolic b/p of 48 indicates trouble. this patient could already be suffering a blood loss which is why their b/p is so low. normal b/p for an adult is 100-139/60-89. that goes back to basic fundamentals of nursing. did they trip you up on that? you have to always be thinking.
gemmie999
1 Post
Just had this on an exam...
After giving a sub q heparin injection, which would require the nurse to contact the MD...
a. a bp of 90/48
b. abdominal bruising
Just wondering cause the rational that we were giving was a bit confusing.