A client is being changed from an injectable anticoagulant to an oral anticoagulant. Which anticoagulant does the nurse realize is administered orally?
a. enoxaparin sodium (Lovenox)
b. warfarin (Coumadin)
c. bivalirudin (Angiomax)
d. lepirudin (Refludan)
Answer: b. warfarin (Coumadin)
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A nurse caring for a paralyzed patient who has been diagnosed with reflex incontinence should include which of the following preventative measures in the teaching plan with this patient?
A) Regular perineal care to prevent skin breakdown B) Kegel exercises to strengthen the pelvic floor C) Small frequent meals D) Limited fluid intake to prevent incontinence
The client has been brought via ambulance to the emergency department (ED) following a motor vehicle accident. The nurse notes that the client's ear is draining clear fluid. Which is the priority nursing action?
1. Requesting information from the client regarding any chronic allergies. 2. Testing the drainage for glucose. 3. Asking the client if there have been recent middle ear infections. 4. Irrigating the ear with warm mineral oil or peroxide, and flushing with warm water.
The nurse documents in the client plan of care that the wound treatment to the client's left foot has resulted in wound healing. She removed the Skin Integrity diagnosis from the plan of care. The nurse is using which aspect of the Nursing Process?
a. Assessment b. Evaluation c. Planning outcomes d. Planning interventions
A nurse is delivering oxygen to a patient via an oxygen mask. Which of the following is a recommended guideline for this procedure?
A) Adjust the mask so it fits tightly around the face. B) For a mask with a reservoir, fill the reservoir half full of oxygen. C) Remove the mask and dry the skin every 2 to 3 hours if the oxygen is running continuously. D) If the patient is experiencing redness around the mask, remove and apply power to the mask.