A patient who takes warfarin for atrial fibrillation undergoes hip replacement surgery. On the second postoperative day, the nurse assesses the patient and notes an oxygen saturation of 83%, pleuritic chest pain, shortness of breath, and hemoptysis
The nurse will contact the provider to report possible ____ and request an order for ____. a. congestive heart failure; furosemide [La-six]
b. hemorrhage; vitamin K (phytonadione)
c. myocardial infarction; tissue plasminogen activator (tPA)
d. pulmonary embolism; heparin
D
This patient is exhibiting signs of pulmonary embolism. Heparin is used when rapid onset of an-ticoagulants is needed, as with pulmonary embolism. The patient would have respiratory cracks and a cough with congestive heart failure. Hemorrhage involves a decrease in blood pressure, bruising, and lumbar pain. The patient has pleuritic pain, which is not consistent with the chest pain of a myocardial infarction.
You might also like to view...
The nurse notes an edematous area around the insertion site of an IV that is cool to the touch and the skin of which appears blanched. Based on these assessment findings, the nurse's first priority is to:
a. apply warm compresses to the area. b. notify the charge nurse. c. stop the infusion. d. reposition the arm to improve the fluid flow.
The nurse working on a pediatric unit is caring for a client newly diagnosed with asthma. Which assessment data indicates exhaustion and the need for immediate intervention?
Select all that apply. A) Shallow respirations B) Slightly diminished breath sounds C) Decreased wheezing D) Increased crackles E) Increased respiratory rate
Lawrence Kohlberg (1971) identified a multiphase process of moral development. These phases of moral development include which of the following? Select all that apply
a. cognitive c. conventional b. preconventional d. postconventional
A client is scheduled for a pump-type implanted penile prosthesis. Which client statement would indicate the need for additional teaching?
A) "The reservoir is filled with saline solution." B) "The penis will appear longer than usual." C) "Surgery is required for placing the implant." D) "The implant is pumped when sexual activity is desired."