Which of the following interventions would be appropriate for ITP?
a. Instituting a heparin infusion of 1000 U/hr
b. Instructing the patient to blow his or her nose carefully
c. Removing heparin from hemodynamic pressure monitoring systems
d. Administering isotonic saline intravenously
B
Recognizing potential hazards and providing a safe care environment is of utmost concern. For example, padding bed rails can protect the patient from bruising. Substituting sponge-tipped oral care devices for firm-bristled toothbrushes can help minimize mucosal trauma and bleeding, and the patient is instructed on how to blow his or her nose gently to avoid instigating epistaxis. When shaving patients, the use of an electric razor is preferred to reduce the risk of laceration associated with a blade. Venipuncture and intramuscular injections are avoided.
You might also like to view...
A nurse is assisting in the admission of a patient to the orthopedic unit of the hospital and is obtaining information for the database. Which technique is the best way for the nurse to obtain information from the patient?
a. Ask personal questions so as to show in-terest. b. Use medical vocabulary to appear com-petent. c. Ask why the patient waited so long to get treatment. d. Use silence while the patient collects his or her thoughts.
A nurse should specifically assess a patient opiate withdrawal for:
a. lacrimation, rhinorrhea, dilated pupils, and muscle pain. b. somnolence, constipation, normal pupils, and hypothermia. c. tremors, hypertension, constricted pupils, and deep sleep. d. visual and tactile hallucinations, agitation, and generalized seizures.
The patient with Parkinson's disease walks with a staggering gait
Indicate whether the statement is true or false
Petechiae are noted on the client as a result of the nurse finding:
A. Bluish-black patches B. Oozing pustules C. Pinpoint-sized red dots D. Large areas of raised, irritated skin