A patient has been administered heparin to prevent thromboembolism development status postmyocardial infarction. The patient develops heparin-induced thrombocytopenia. Which of the following medications will be administered?
A) Argatroban (Acova)
B) Vitamin K
C) Calcium gluconate
D) Aminocaproic acid (Amicar)
A
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A patient has had her indwelling urinary catheter removed after having it in place for 10 days during recovery from an acute illness
Two hours after removal of the catheter, the patient informs the nurse that she is experiencing urinary urgency resulting in several small-volume voids. What is the nurse's best response? A) Inform the patient that urgency and occasional incontinence are expected for the first few weeks post-removal. B) Obtain an order for a loop diuretic in order to enhance urine output and bladder function. C) Inform the patient that this is not unexpected in the short term and scan the patient's bladder following each void. D) Obtain an order to reinsert the patient's urinary catheter and attempt removal in 24 to 48 hours.
The patient's oral temperature is 37.1° C (98.78° F) at 1 PM. Which of the following actions should the nurse take next? (Select all that apply.)
a. Administer acetaminophen (Tylenol) 650 mg by mouth now. b. Off the patient an additional blanket. c. Document that the patient is normotensive. d. Compare this with the patient's prior readings.
Healthcare organization X is committed to improving patient outcomes and, as part of the QI process, examines its executive structure and organizational design. This approach recognizes:
a. The importance of decentralized structure in QA. b. That structure influences nurse burnout and participation in quality improvement initiatives. c. The need to ensure sufficient supervisory staff to respond in a corrective manner when mistakes occur. d. That a narrow hierarchy ensures accountability for errors and outcomes.
The client who is experiencing a chronic disease tells the nurse that the client read an article about funding for the National Institute of Nursing Research (NINR) and wondered why the Congress would fund such an organization
The best response by the nurse is: 1. "The goals of the NINR to promote health and prevent disease are in line with national goals for health care.". 2. "Funding the NINR is one cause of health cost increases in the country.". 3. "The government is looking to the NINR for information about promoting health.". 4. "The government is interested in preventing chronic disease.".