The nurse is monitoring a child or bleeding after surgery for removal of a brain tumor. the nurse checks the head dressing for the presence of blood and notes a colorless drainage on the back of the dressing. which interventions should the nurse perform immediately?
a. reinforce the dressing
b. notify the HCP
c. document the findings and continue to monitor
d. circle the area of drainage and continue to monitor
b. notify the HCP
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When making morning rounds, a client with acute leukemia reports having nosebleeds off and on throughout the night. Which action should be taken by the nurse?
1. Check the client's blood pressure and pulse. 2. Determine whether client has pain anywhere. 3. Report the findings to the physician. 4. Apply a water-soluble lubricant to the nares.
Laboratory tests are performed to identify damage to the heart muscle. Which test is elevated the earliest with heart damage?
a. Creatine phosphokinase-MB (CPK-MB) b. Lactate dehydrogenase (LDH) c. Lipid profile d. Troponin
Which patient behavior would the nurse assess as possible indication that the patient will have health information literacy deficiency?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. The patient asks questions that are not pertinent to the information provided. 2. A patient reports that she took many herbal medications before emigrating from Viet Nam. 3. The patient fiddles with his hearing aid during instruction. 4. The nurse finds the medication information sheets she gave the patient tucked into a novel as a bookmark. 5. The patient's wife cannot visit in the evenings because of her work schedule.
Methotrexate is recommended as part of the treatment plan for which obstetric complication?
a. Complete hydatidiform mole b. Missed abortion c. Unruptured ectopic pregnancy d. Abruptio placentae