A 42-year-old client was injured at work and had a right surgical…

A 42-year-old client was injured at work and had a right surgical knee repair 2 weeks ago. The client was diagnosed and admitted to an acute care unit with a right calf deep vein thrombosis and pulmonary embolus. The primary health care provider prescribed an unfractionated heparin IV bolus of 5000 units followed by a continuous infusion of 1300 units/hour. 
Choose the most likely options for the information missing from the statements below by selecting from the list of options provided.
During IV heparin administration, the nurse would monitor the client for possible adverse drug effects, especially bleeding or hemorrhage. To monitor for the complication, the nurse would assess for common signs of blood loss, including ____________1  blood pressure_______________1 
pulse. Other indications of bleeding include _____________2,______________2,_______________2_____________2

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Option 1     Option 2
Orthostatic     decreased level of consciousness
Irregular     hematuria
Increased     angioedema
Fluctuating     red or black stools
Decreased     constipation
Hyperreflexia     ecchymosis  
 

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