Recent exacerbation of a patient's mitral valve regurgitation prompted her cardiologist to perform a mitral valve replacement in which the patient received a mechanical valve
In the weeks following the patient's surgery, which of the following blood tests will be most relevant to the patient's potential complications?
A) Blood urea nitrogen (BUN) and creatinine
B) Serum potassium level
C) White blood cell (WBC) differential
D) International normalized ratio (INR)
D
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A nurse is caring for a woman on a continuous IV of magnesium sulfate. Which actions are appropriate for patient safety? (Select all that apply.)
A. Administer the bolus from the main bag, then change to the maintenance rate. B. Double-check each new bag and dose/rate change with another nurse. C. Ensure that a supply of romazicon (Flumazenil) is available in the patient's room. D. Perform handoff report at the bedside, verifying the dose and orders by both nurses. E. Place color-coded tags on each IV line, bag, and pump to label them clearly.
During a prenatal education class, a participant has related a story about how her friend's infant died of sudden infant death syndrome (SIDS)
What can the educator tell the group about how they can prevent SIDS when they have their babies? Select all that apply. A) "The best sleeping position for your baby is on his back." B) "Children are at particular risk of SIDS when they have a cold or flu, so these times require extra vigilance." C) "Using drugs during pregnancy has been shown to be associated with SIDS after birth, which is one more reason for mothers to avoid them." D) "It's important if anyone in your home smokes to make sure they only do it outside." E) "The exact cause of SIDS still isn't known, so there's little that you can do to prevent this tragic event."
The nurse has scheduled a specific time for a group of Latino diabetics to come for diabetic teaching, but the group does not come until almost an hour later. The culturally competent nurse is aware that:
1. a language barrier caused a miscommunication. 2. denial about the disease has delayed arrival. 3. their culture places little significance on time concepts. 4. a timely arrival is rude, because it may inconvenience the "hostess."
A preschool-age child is admitted to the pediatric unit for surgery. The parents request to stay with their child. Which is the best response by the nurse?
1. Tell the parents they can stay in the hospital but not on the unit. 2. Read the rules and regulations of rooming in with the child. 3. Let the parents know they are allowed to stay with the child. 4. Explain to the parents why they cannot stay with the child.