Based on the aptt result, the nurse should immediately discontinue injections of Heparin to the patient. The patient is already having abnormally high aptt of 92. High aptt exceeding 70 which in the case of the patient is 92 is an indication that he is on spontaneous bleeding or hemorrhage. The nurse must immediately report the result to the attending physician for management.
It is a tick disease so whenever the ticks are out people can get it. If you live in Northeastern United States these fall in Fall and Winter season when most people and animals get bitten.
Answer:
Ignorance on the types on substances to take
peer pressure
inadequate attention to the learners by school authorities
Complex and simple sugars
