Which laboratory blood value is most
important for you to monitor when a patient is prescribed both colestipol (Colestid) and warfarin (Coumadin)?
a. Hematocrit
b. Hemoglobin
c. Red blood cell (RBC) count
d. International normalized ratio (INR)
ANS: D
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A client on interferon therapy is reporting severe skin itching and irritation. What actions does the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)
a. Apply moisturizers to dry skin. b. Apply steroid creams to the skin. c. Bathe the client using mild soap. d. Help the client with a hot water bath. e. Teach the client to avoid sunlight.
The mediator noticed that tension was still evident between the nurse manager and staff members. He informed the chief nursing officer that to begin team-building, it would be important that everyone:
a. Work together in a respectful, civil man-ner. b. Use avoidance techniques when con-fronted with a conflict. c. Develop a personal friendship with each other. d. Socialize frequently outside of work.
The nurse read in the patient's chart that the patient has a stage III pressure ulcer. Which assessment findings are consistent with this stage of ulcer?
a. Damage to the subcutaneous tissue b. Unblanching skin c. Presence of mottled skin d. Damage limited to the epidermis
The school nurse is providing care to a school-age client who experienced a sprain of the right ankle on the playground. Which intervention is appropriate for the nurse to implement for this client?
1. Apply ice to the extremity 2. Apply a warm, moist pack to the extremity 3. Perform passive range of motion to the extremity 4. Lower the extremity to below the level of the heart