The nurse is caring for a client who is taking warfarin sodium (Coumadin) for a history of DVT. Before administering the medication, the nurse should assess the client's
a. Homan's sign.
b. PT, INR.
c. PTT.
d. vital signs.
B
The PT and INR are used to monitor therapy with warfarin. The PTT is used to guide heparin therapy. The Homan's sign is not considered a very reliable assessment for DVT. The nurse ad-ministering either warfarin or heparin should know the results of the latest monitoring test before giving the client the drug in order to prevent possible complications if the level is too high.
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The nurse is working with a client who has been diagnosed with a personality disorder. Which situation best describes the client's external response to stress?
1. The client attends group therapy. 2. The client uses meditation when upset. 3. The client tries to change the environment instead of changing him- or herself. 4. The client engages in self-awareness exercises.
The nurse is caring for a child immobilized because of Russel traction. What interventions should the nurse implement to prevent renal calculi? (Select all that apply.)
a. Monitor output. b. Encourage the patient to drink apple juice. c. Encourage milk intake. d. Ensure adequate fluids. e. Encourage the patient to drink cranberry juice.
To develop a curriculum vitae, or résumé, a nurse must develop a personal data file. The goal of a personal data file is to:
a. Create an opportunity to be interviewed. b. Have a listing of facts about your professional life. c. Have a tool in place for marketing yourself. d. Create a document that lists your skills.
There are several key issues, activities, and products of Phase I developmental work for nursing interventions. What is an example of a key issue?
A) Conceptualization of the problem B) Critical synthesis of the relevant literature C) Concept and theory development D) Exploratory and descriptive research