The provider orders heparin therapy for a pt with a relatively small PE. The pt states "I didn't tell the doctor my complete medical history" Which condition may affect the providers decision to immediately start heparin therapy?
a. Type 2 DM
b. recent cerebral hemorrhage
c. newly diagnosed osteoarthritis
d. asthma since childhood
Answer: b. recent cerebral hemorrhage
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A nurse assesses a client who has encephalitis. Which manifestations should the nurse recognize as signs of increased intracranial pressure (ICP), a complication of encephalitis? (Select all that apply.)
a. Photophobia b. Dilated pupils c. Headache d. Widened pulse pressure e. Bradycardia
The nurse is caring for a patient who is taking a calcium-channel blocker. What adverse effects would the nurse caution this patient about?
A) Hypertension and tachycardia B) Headache and dizziness C) Itching and rash D) Nausea and diarrhea
You are a home health nurse who is doing an initial assessment on a new client. The client has a diagnosis of liver transplant with immunosuppression. What is the most essential teaching for this patient and their family?
A) The signs and symptoms of infection B) The importance of handwashing C) How to assess for infection D) The need to inform the health care provider of any subtle changes in the patient's physical health status.
Which of the following clients who are receiving care at a primary care clinic is most at risk for developing heart disease?
1. Elizabeth Elliot, a 55-year-old schoolteacher who is 30 pounds overweight, does not smoke, and has no family history of heart disease. Her blood pressure is 124/84 mm Hg, and her cholesterol is 220 mg/dL. 2. Frank Fuller, a 45-year-old insurance salesman who is near his optimal weight, does not smoke, and has a family history (father) of heart disease. His blood pressure is 140/92 mm Hg, and his cholesterol is 180 mg/dL. 3. Grace Geer, a 42-year-old bank executive who is 15 pounds overweight, smokes 1 pack per day, and has a family history (both grandfathers) of heart disease. Her blood pressure is 130/68 mm Hg, and her cholesterol is 190 mg/dL. 4. Harlan Harris, a 54-year-old truck driver who is 25 pounds overweight, smokes 1 pack per day, and has a family history (father, grandfather) of heart disease. His blood pressure is 136/92 mm Hg, and his cholesterol is 250 mg/dL.