Question

The nurse is providing care for a patient who developed heparin-induced thrombocytopenia (HIT) during heparin therapy. The nurse is aware that lepirudin (Refludan) is often given to patients with this condition. Which assessment findings should the nurse report to the medical team? Select all that apply.

1. The most recent aPTT is 2.8.
2. The patient's last stool tested positive for blood.
3. The patient is allergic to eggs.
4. The patient's spleen was removed after a motor vehicle accident 3 years ago.
5. The patient drinks 5Â?6 cups of coffee daily.

Answer 1

In caring for a patient with heparin-induced thrombocytopenia (HIT), the nurse should report assessment findings including abnormal aPTT levels, positive stool for blood, and history of splenectomy.

Step-by-step explanation:

When caring for a patient with heparin-induced thrombocytopenia (HIT), the nurse should report the following assessment findings to the medical team:

1. The most recent aPTT is 2.8: This finding indicates that the patient's blood is not clotting properly, which can be a sign of HIT.
2. The patient's last stool tested positive for blood: This finding suggests that the patient may be experiencing gastrointestinal bleeding, which can occur in patients with HIT.
3. The patient's spleen was removed after a motor vehicle accident 3 years ago: Although this finding may not directly relate to HIT, it is important to report any history of organ removal, as it may impact the patient's overall health and treatment plan.