The nurse counsels a patient that the administration of thrombolytic drugs would be contraindi-cated in the patient who is:

a. hypotensive.
b. being treated for a bleeding ulcer.
c. presently taking warfarin (Coumadin).
d. prone to asthma attacks.


B
Thrombolytic agents are contraindicated in people with uncontrolled hypertension, GI bleeds, recent intracranial or intraspinal surgery, or aneurysm because of threat of excessive bleeding.

Nursing

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The nurse finds a medication error made on a prior shift by another nurse. The nurse who discovers the error will:

1. Write a note to the nurse involved explaining the need for an incident report. 2. Ignore the error because it's none of the nurse's business. 3. Report the error to the nursing supervisor to deal with the incident report. 4. Complete an incident report according to facility policy.

Nursing

The nurse is trying to solve a problem and begins by brainstorming, being as creative as possible. Next the nurse looks at all of the ideas to determine if there are any workable solutions in the written list

The nurse decides to take a break from problem solving and returns after a pleasant afternoon with friends to think about the problem more. Which of these actions demonstrates letting go? 1. Brainstorming 2. Reviewing written list for workable solution 3. Spending the afternoon with friends 4. Returning to the problem

Nursing

The nurse is preparing to administer an intravenous insulin drip to a patient admitted with diabetic ketoacidosis. Which of the following laboratory findings would be of most concern to the nurse?

1. sodium level of 130 mEq/L 2. potassium level of 3.2 mEq/L 3. bicarbonate level of 16 mEq/L 4. phosphorus level of 2.8 mEq/L

Nursing

Which statement made by the faculty advisor of a licensed practical nurse (LPN) who is enrolled in an associate degree nursing program demonstrates an understanding of the effect of change on the profession?

A) "The roles of the LPN and the RN are different and you must change in order to fulfill the new role effectively." B) "An associate degree in nursing will afford you the opportunity to change your LPN status within the RN nursing community." C) "Changing roles from LPN to RN is difficult and will require great effort on your part in order to be successful." D) "Change is required to keep nursing an effective profession; the change from LPN to RN will require a change to your current role."

Nursing