A client is at 12 weeks' gestation with her first baby. She has cardiac disease, class III. She states that she had been taking sodium warfarin (Coumadin), but her physician changed her to heparin. She asks the nurse why this was done
The nurse's response should be: 1. "Heparin may be given by mouth, while Coumadin must be injected."
2. "Heparin is safer because it does not cross the placenta."
3. "They are the same drug, but heparin is less expensive."
4. "Coumadin interferes with iron absorption in the intestines."
2
Rationale:
1. Heparin is an injectable and Coumadin is a pill.
2. Heparin is safest for the client to take because it does not cross the placental barrier.
3. Heparin does not cost less than Coumadin.
4. Coumadin does not interfere with iron absorption in the intestines.
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Many hospitals and universities have access to both SPIN and The Foundation Directory. Why are these useful for a researcher? (Select all that apply.)
a. They provide leads for thousands of grant opportunities. b. They provide information only for small grants of less than $5,000 each. c. They provide information on federal agencies, private foundations, and corporate foundations. d. They are computerized information resources. e. They provide funding information; all fees are then used to support future grants.
The sibling of a client with schizophrenia states to the nurse: "I understand there is a genetic link to this disorder. Can you tell me anything more about that?" The nurse should respond:
A) "Recent research indicates schizophrenia is linked mainly to an excess in brain neurotransmitters, not genetics." B) "As long as you are not identical twins, the occurrence in siblings is just a coincidence." C) "Siblings of people with schizophrenia have a much higher incidence of the having the disease as well." D) "You should have gene testing if you are concerned you will develop the disease."
The nurse is teaching a burn client about the need for continued stretching exercises after discharge from the hospital. The nurse knows that the client understands what is necessary when he states:
1. "Stretching exercises are used to elongate shortened soft tissue and increase range of motion.". 2. "A progressive exercise program will not increase my overall stamina.". 3. "Blanching of the scar means I have stretched too far.". 4. "If I stretch, I don't need to use my splints.".
School nurses and other education professionals may be responsible for caring for students with multiple overlapping mental disorders. The overlap in symptoms among ADHD, bipolar disorder, and conduct disorder
makes it more difficult for the school nurse to identify students at risk correctly and make referrals for appropriate treatment. Using your knowledge of bipolar disorder, what assessment findings are present in almost 75% of the children diagnosed with bipolar disorder? A) Hyperactivity and sleep disturbances B) Mood and anxiety symptoms C) Irritability and impulsivity D) Anxiety and impulsivity .