Which of the following previous medical conditions would indicate a patient at risk for developing HIT?
a. Sepsis
b. Deep vein thrombosis
c. Cardiac arrest
d. Pneumonia
B
Ascertaining a medical history that includes previous heparin therapy, deep vein thrombosis, or cardiovascular surgery that included the use of cardiopulmonary bypass can alert the nurse to potential problems.
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A nurse cares for a client with colon cancer who has a new colostomy. The client states, "I think it would be helpful to talk with someone who has had a similar experience." How should the nurse respond?
a. "I have a good friend with a colostomy who would be willing to talk with you." b. "The enterostomal therapist will be able to answer all of your questions." c. "I will make a referral to the United Ostomy Associations of America." d. "You'll find that most people with colostomies don't want to talk about them."
A number of methods for assisting in the assessment of fetal well-being have been de-veloped for use in conjunction with electronic fetal monitoring
These various technolo-gies assist in supporting interventions for a nonreassuring fetal heart rate pattern when necessary. The labor and delivery nurse should be aware that one of these modalities, fet-al oxygen saturation monitoring, includes the use of: a. A fetal acoustic stimulator. b. Fetal blood sampling. c. Fetal pulse oximetry. d. Umbilical cord acid-base determination.
An older adult in a long-term care facility has been diagnosed with depression. What would indicate a need for further assessment of suicide risk?
a. Asking for assistance in writing a will b. Voicing the intention to visit his brother c. Donating excess clothing to charity d. Asking the young widow next door for a dinner date
Swanson's theory of caring is best demonstrated when the nurse:
1. Demonstrates efficiency when performing ordered treatments 2. Offers to stay with the client during a painful bedside procedure 3. Administers the client's pain medication promptly when requested 4. Frequently updates a family regarding a client's status during surgery