Which of the following statements best describes Peplau's Working Phase?
A. Establishment of trust between the nurse and the patient
B. Continual movement from dependence to independence
C. Balance between dependence and independence
D. Development of future sources of support
ANS:C
You might also like to view...
The nurse is reviewing the use of ophthalmic preparations. Indications for the direct- and indirect-acting miotics include which condition?
a. Cataracts b. Removal of foreign bodies c. Open-angle glaucoma d. Ocular infections
The Centers for Disease Control and Prevention (CDC) recommends that HPV be treated with patient-applied:
1. miconazole ointment. 2. topical application of podofilox 0.5% solution or gel. 3. penicillin intramuscularly for two doses. 4. metronidazole by mouth.
The nurse has completed a presentation for newly-pregnant women about the changes of pregnancy. Which participant's statement reflects accurate comprehension of the information?
1. "A positive Goodell's sign is a probable change of pregnancy." 2. "Three positive pregnancy tests in a one week period is considered to be a positive change of pregnancy." 3. "Uterine souffle is a positive change of pregnancy." 4. "Changes in the pelvic organs are presumptive signs of pregnancy."
The following questions refer to your patient who is on IV heparin therapy according to the "Standard Weight-Based Heparin Protocol" noted below. The patient weighs 144 pounds. On admission, the patient's APTT is 30 seconds. You initiate IV heparin therapy at 1130 on 06/06/XX. Record your answers in the spaces below unless provided with the "Standard Weight Based Heparin Protocol Worksheet" by
your instructor. Standard Weight-Based Heparin Protocol For all patients on heparin drips: 1. Weight in KILOGRAMS required for order to be processed: ______ kg. 2. Heparin 25,000 units in 250 mL of 1/2 NS. Boluses to be given as 1,000 units/mL. 3. APTT q.6h or 6 hours after rate change; daily after two consecutive therapeutic APTTs. 4. CBC initially and repeat every ____ day(s). 5. Obtain APTT and PT/INR on day one prior to initiation of therapy. 6. Guaiac stool initially, then every __ day(s) until heparin discontinued. Notify if positive. 7. Neuro checks every ____ hours while on heparin. Notify physician of any changes. 8. D/C APTT and CBC once heparin drip is discontinued unless otherwise ordered. 9. Notify physician of any bleeding problems. 10. Bolus with 80 units/kg. Start drip at 18 units/kg/h. 11. If APTT is < 35 secs: Rebolus with 80 units/kg and increase rate by 4 units/kg/h. 12. If APTT is 36-44 secs: Rebolus with 40 units/kg and increase rate by 2 units/kg/h. 13. If APTT is 45-75 secs: Continue current rate. 14. If APTT is 76-90 secs: Decrease rate by 2 units/kg/h. 15. If APTT is > 90 secs: Hold heparin for 1 hour and decrease rate by 3 units/kg/h. What does the protocol/sample orders indicate for the initial infusion rate for this patient? ? __________ units/kg/h ? Calculate the dosage of heparin this patient should receive each hour. ? __________ units/h ? What does the protocol/sample orders indicate as the required solution concentration (supply dosage) of heparin to use for the initial infusion? ? __________ units/mL ? Calculate the heparin solution volume this patient should receive each hour to provide correct infusion for the patient's weight. ? __________ mL/h Fill in the blank(s) with correct word