The nurse is caring for a patient with severe liver disease. The nurse notes new ecchymotic areas on the patient's arms and legs
Which laboratory results will the nurse analyze regarding this finding? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Complete blood count
2. Coagulation studies
3. Serum albumin
4. Serum ammonia levels
5. Serum hepatitis antibodies
1,2
Rationale 1: Ecchymosis indicates a bleeding tendency. The nurse would review the CBC for hemoglobin and hematocrit level changes.
Rationale 2: The liver plays a major role in the normal clotting cascade. Ecchymosis indicates a bleeding tendency. The nurse should review coagulation studies for changes.
Rationale 3: Albumin levels reflect liver impairment and nutritional status and are not related to a risk for bleeding.
Rationale 4: Serum ammonia levels elevate during liver failure due to the liver's inability to convert ammonia to urea for renal excretion. This test does not relate to bleeding tendency.
Rationale 5: Testing for the presence of hepatitis antibodies in the blood does not provide information regarding coagulation.
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An Asian-American woman is experiencing diarrhea, which is believed to be "cold" or "yin." The nurse expects that the woman is likely to try to treat it with:
a. Foods that are "hot" or "yang." b. Readings and Eastern medicine meditations. c. High doses of medicines believed to be "cold." d. No treatment is tried because diarrhea is an expected part of life.
The perinatal nurse recognizes that which common organism is responsible for postpartum infection manifesting with scant, odorless lochia?
A. Beta-hemolytic streptococcus B. Chlamydia trachomatis C. Escherichia coli D. Treponema pallidum
The nurse has evaluated a client's response to interventions that are based on the client's genetic profile. What should the nurse do next?
1. Consider publishing the results of these interventions. 2. Generalize the results to care of other clients with similar genetic profiles. 3. Make changes to the client's plan of care based on this evaluation. 4. Plan to reassess the client's condition at a specific point in time.
The nurse has just administered a client's morning dose of medications following a high-fat breakfast. How will the absorption of the medication be affected?
1. It will be blocked. 2. It will be slowed. 3. It will be accelerated. 4. It will not be affected.