A new nurse is listing the interventions he should employ when caring for a client on thrombolytic therapy. Which nursing intervention is inappropriate for the client during thrombolytic therapy?
a. Monitor vital signs and reporting changes.
b. Check for active bleeding for 24 hours after therapy.
c. Inform the client that aspirin and NSAIDs may be taken for discomfort.
d. Monitor electrocardiogram strips for cardiac dysrhythmias.
ANS: C
Aspirin or NSAIDs would increase the bleeding time further. ECGs may be done to assess for changes to the myocardial muscle.
You might also like to view...
Which nursing interventions are significant for a child with cirrhosis who is at risk for bleeding? Select all that apply
a. Guaiac all stools b. Provide a safe environment c. Administer multivitamins with vitamins A, D, E, and K d. Inspect skin for pallor and cyanosis e. Monitor serum liver panels
What statement is the most descriptive of asthma?
a. It is inherited. b. There is heightened airway reactivity. c. There is decreased resistance in the airway. d. The single cause of asthma is an allergic hypersensitivity.
The older client who has dementia is incontinent of urine, so the nurse plans nursing care to maintain skin integrity. Which does the nurse use in the client's plan of care? (Select all that ap-ply.)
1. Offer frequent toileting. 2. Keep the skin clean and dry. 3. Restrict oral fluids after dinner. 4. Collaborate for urinary catheter. 5. Apply adult incontinence briefs. 6. Instruct UAPs on barrier creams.
A z score of 0.00 corresponds to an original score that:
a. Could not be used in the calculation of the mean b. Is the same as the mean in the original distribution c. Is the lowest score in the original distribution d. Is an outlier