You are directly admitting a 30-year-old woman, J.L., to your telemetry unit with the diagnosis of status
post–cardiac transplantation and fever of unknown origin. She was healthy until the birth of her only
child at 27 years of age.
She developed idiopathic cardiomyopathy after childbirth and underwent car
diac transplantation 10 months ago. All of her endomyocardial biopsies have been negative for signs of
rejection; her last one was 3 weeks ago. She is currently maintained on a regimen of baby aspirin, multivi
tamins, tacrolimus (Prograf), nifedipine (Procardia), and metolazone (Zaroxolyn). The uAP reports her vital
signs (VS) as 130/78, 104, 20, 101.7° F (38.7° C).
Admitting has assigned J.L. to a semiprivate room. Her roommate is on day 4 of IV antibiotic
treatment for pneumonia and now has a near normal white blood cell (WBC) count. Is this
assignment appropriate?
No. Although 4 days of antibiotic therapy might be sufficient to prevent infection in other patients,
J.L. is immunosuppressed. She should be admitted to a private room, and every precaution should
be taken to prevent health care–associated infections. Call admitting immediately, and tell them she
requires a room assignment change.
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The client asks the nurse about drug interactions with oral anticoagulants. The nurse indicates which of the following is known to interact oral anticoagulants:
a. propranolol. c. hydralazine. b. aspirin. d. oxycodone.
It is reasonable to recommend supplementation with _________ in the treatment of hyperlipidemia
1. Omega-3 fatty acids 2. Probiotics 3. Plant sterols 4. Calcium
The nurse caring for several patients and their families knows that roles in each family are determined by: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. Age. 2. Stressors. 3. Demographic trends. 4. Definition of family. 5. Ethnocentrism.
Leaders' power to provide pay raises and promotions is
a. Reward b. Coercive c. Legitimate d. Referent e. Expert