A critical care nurse is caring for a client with a cerebrovascular accident (CVA) The client is prescribed heparin for treatment. The nurse knows to monitor the client for what adverse effects?
A) Migraine attacks
B) Hemorrhage
C) Respiratory distress
D) High blood pressure

Question

Quizplus · Accepted Answer

Heparin is an anticoagulant that helps prevent clots from forming in the blood vessels. However, it can also lead to an increased risk of bleeding and hemorrhage, which is why the nurse should closely monitor the client for any signs of bleeding such as bruising, easy bleeding or hematoma formation. Migraine attacks, respiratory distress, and high blood pressure are not commonly associated adverse effects of heparin.

A Critical Care Nurse Is Caring for a Client with a Cerebrovascular