The nurse should evaluate the results of which of the following laboratory tests for a client who has cirrhosis in order to plan safe care?
1. Prothrombin time
2. Urinalysis
3. Serum lipase
4. Serum tropinin
1. Prothrombin time
Rationale:
Many clotting factors are produced in the liver, and the client with cirrhosis is at risk for bleeding. Prothrombin time measures the clotting time of the blood. Urinanalysis, serum lipase, and serum tropinin do not.
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What role is the nurse who diligently works for the protection of patients' interests playing?
a. Caregiver b. Health care administrator c. Advocate d. Health care evaluator
A nurse is caring for a patient who has undergone an open abdominal surgery. The nurse notes that the patient will only drink warm liquids. The patient tells the nurse, "The cold liquids will make my condition worse."
What response by the nurse best demonstrates cultural humility? 1. "The cold liquids will not make your condition worse." 2. "The warm liquids will not make your condition better." 3. "Can you tell me why the cold liquids will make your condition worse?" 4. "Can you tell me why you do not follow the health provider's suggestion?"
A dark-skinned client was admitted in respiratory distress. When planning to assess for cyanosis, the nurse recognizes that:
1. It is not possible to assess color changes in clients with dark skin. 2. Cyanosis can be seen on the lips and mucous membranes of clients with dark skin. 3. Cyanosis in clients with dark skin is assessed through the sclera. 4. Cyanosis will blanch with direct pressure to the soles of the feet in dark-skinned clients.
A 28-year-old female client presents to the emergency department with a temperature of 102.4°F
She states that she began experiencing frequency and burning upon urination yesterday and in the middle of the night woke up with the fever and chills. She also states that her back is hurting. These symptoms describe what type of infection? 1. Urethritis 2. Acute pyelonephritis 3. Acute renal failure 4. Cystitis