Before administering a heparin injection, a nurse needs to have a second nurse verify
1. The strength and dosage of the heparin.
2. The type and dosage of the heparin.
3. The patient's laboratory results.
4. Whether it should be given via the intramuscular route.
ANS: 4
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A 45-year-old man in the ICU is diagnosed with generalized myasthenia gravis. The physician is discussing treatment options with the patient
The nurse understands that which treatment option would likely be the most effective for this patient in the long term in terms of remission, overall survival, and clinical improvement? A) Anticholinesterase B) Plasmapheresis C) Intravenous immunoglobulin D) Thymectomy
A female patient with a diagnosis of type 1 diabetes mellitus has been experiencing increasing neuropathic pain in recent months, a symptom that has not responded appreciably to conventional analgesics
The patient's care provider has begun treatment with gabapentin (Neurontin). How is the addition of this drug likely to influence the management of the patient's existing drug regimen? A) The patient may be required to temporarily hold her other medications until a stable serum level of gabapentin is achieved. B) It is unlikely to influence the patient's other medications because gabapentin does not interact with other drugs. C) Gabapentin is contraindicated with the use of exogenous insulin. D) The patient's medication-related risk for renal failure must be assessed prior to the use of gabapentin.
Which pattern of knowing is reflected by the nurse who helps the patient develop an appreciation
of lessons learned during recovery from illness? A) Aesthetic B) Personal C) Ethical D) Empirical
The clinical nurse educator on a palliative care unit perceives that many of the staff nurses are in the precontemplative and contemplative stages of readiness to adopt a new, evidence-based approach to pain assessment and management
Which of the following strategies should the educator adopt? A) Presenting the findings from the literature that support the change in practice B) Making connections with staff and fostering their readiness to change C) Implementing the initial changes in practice that are necessary D) Identifying and addressing those staff members who are resistant to change