A patient is admitted for hip surgery. The patient usually takes the following medications daily:
an anticoagulant, a multivitamin, and vitamin E. He stopped taking his anticoagulant 4 days ago as instructed by his surgeon, but has continued to take the multivitamin and vitamin E. An important collaborative problem or nursing diagnosis for this patient is which of the following?
a. Potential complication: anemia
b. Risk for infection related to inadequate anticoagulant dosage
c. Risk for noncompliance related to inability to follow instructions
d. Potential complication: increased bleeding
D
The patient is at an increased risk for bleeding due to his intake of vitamin E. He may be at risk for anemia if he experiences a large blood loss in surgery; however, this problem is not appropriate before he experiences the blood loss. This patient does not have a higher-than-average risk for infection because he is not having surgery involving a "contaminated" system (e.g., the gastrointestinal system). There is no evidence to suggest that this is noncompliant simply because he stopped taking his anticoagulant as ordered.
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The nurse working night shift recognizes the value of allowing clients to sleep uninterrupted whenever possible. Which client would the nurse wake to assess vital signs?
1. Postoperative client who had surgery 5 days ago and will be discharged in the morning 2. Client who has been afebrile for 3 days on antibiotics 3. Client who required medication earlier in the day for chest pain 4. A client who required the insertion of an indwelling catheter this evening secondary to urine retention related to an enlarged prostate
A patient who had a laparoscopic surgical procedure has called the clinical facility with complaints of vaginal discharge. What action should the nurse take first?
1. document the complaint 2. notify the physician 3. ask the patient to come to the clinic immediately 4. check if the patient has been prescribed an antibiotic
An appropriate tool to use when assessing level of pain in young children is to:
A) Ask them to point to where it hurts. B) Ask them to describe the pain on a scale from 0 to 10. C) Ask them to draw a picture of the hurt. D) Ask then to use a FACES scale to describe the pain.
A number less than 1 is always expressed as greater than 100 percent
Indicate whether the statement is true or false