@nclex.review1: NCLEX Sample Question A client with PE is receiving heparin. Which finding requires immediate follow-up? A. aPTT within the therapeutic range B. Mild bruising at an IV site C. Black, tarry stool D. Heart rate 88/min ✅ Correct Answer: C. Black, tarry stool Why? Black, tarry stool (melena) can indicate GI bleeding, a serious complication of heparin therapy. The nurse should immediately assess for bleeding and notify the provider. Here is why the others options are not a priority: * ❌ A. aPTT within the therapeutic range — This is expected when giving heparin. The aPTT is monitored to make sure the medication is working without causing excessive anticoagulation. * ❌ B. Mild bruising at an IV site — Some minor bruising can occur because heparin increases the risk of bleeding. It should be monitored, but mild localized bruising is not an immediate emergency. * ❌ D. Heart rate 88/min — A heart rate of 88/min is within the normal adult range (60–100/min). In a client with PE, this finding alone does not indicate deterioration. #nursingstudents #nclexreview #nursingschool #studentnurses #fyp

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Monday 21 September 2026 13:38:28 GMT