Pharmacological and Parenteral TherapiesQuestion 510 of 2368

A client who is receiving heparin has a blood pressure that is falling and a heart rate that is rising. What should the nurse suspect?

  1. Heparin underdosing
  2. Fluid overload
  3. An allergic reaction to protamine
  4. Internal bleeding
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Correct answer: Internal bleeding

A decreasing blood pressure with an increasing heart rate can mean internal bleeding, which must be reported at once.

Source: Nursing Pharmacology, 2nd edition (Open RN, Chippewa Valley Technical College, 2023), Cardiovascular & Renal Systems: Heparin Sodium. Licensed under CC BY 4.0.

Practice the topic "Pharmacological and Parenteral Therapies"

Questions last reviewed: 18 October 2026