The perinatal nurse administers heparin as ordered to the postpartum woman with newly diagnosed deep vein thrombosis. The patient asks about the purpose of the medication. Which response by the nurse is best?
A.
Assists with breakdown of the thromboses
B.
Decreases clotting time and circulatory clotting factors
C.
Prevents extension of the clot and new clot formation
D.
Prevents the formation of any new clots only
ANS: C
The primary purpose of heparin therapy is to prevent extension of the current clot and to prevent new clot formation. The other answers are not correct.
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A nurse working in an outpatient primary care clinic is caring for a client with asthma who has an 80 pack-year smoking history. When assessing the client's current use of nicotine, which question is most appropriate?
A) "Have you tried a nicotine patch for quitting smoking?" B) "Do you smoke cigarettes with filters or without?" C) "Do you smoke upon waking?" D) "Tell me about any attempts you've made to quit using nicotine."
The nurse, completing a history of present illnesses for a young woman who suspects she may have a STI, will ask specifically about whether the patient has experienced:
1. lethargy and fatigue. 2. genital discharge. 3. abdominal cramps. 4. heavy menses.
A nurse is working in a state health department. Which of the following programs would the nurse most likely be working with?
a. Senior health b. Dental services c. HIV/AIDS service d. Mental health
When counting respirations, you should
A) do this without the patient being aware that you are counting respirations. B) tell the patient what you are going to do. C) count five respirations and then check your watch. D) have the patient count respirations while you take his/her pulse.