A woman who has recently given birth complains of pain and tenderness in her leg. Upon physical examination, the nurse notices warmth and redness over an enlarged hardened area. The nurse should suspect _____ and should confirm diagnosis by _____
1. disseminated intravascular coagulation; asking for laboratory tests
2. von Willebrand disease; noting if bleeding times have been extended
3. thrombophlebitis; using real-time and color Doppler ultrasound
4. coagulopathies; drawing blood for laboratory analysis
3
1, 2, 4. Incorrect. Pain and tenderness in the extremities that shows warmth, redness, and hard-ness is likely thrombophlebitis. A Doppler ultrasound is a common noninvasive way to confirm diagnosis.
3. Correct. Pain and tenderness in the extremities that shows warmth, redness, and hardness is likely thrombophlebitis. A Doppler ultrasound is a common noninvasive way to confirm diagno-sis.
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The AACN/John A. Hartford Foundation Competencies are helpful to nurses because they:
a) offer suggestions about how to gain employment in geriatrics b) provide a guideline for the knowledge that is expected to provide quality care to older adults c) were designed to prepare nurses to pass the State Board Exam d) were written for nurses working on a graduate degree in gerontology
Explanation: 1. Polypharmacy is a major factor in hospital readmission rates due to unnecessary adverse events. The nurse teaches ways in which the client can avoid readmission to the hospital, including how to take medications as prescribed. 2. There is not enough information to determine if the client is prone to missing medication doses. The nurse does suggest ways in which the client can
keep the medications and doses on a regular schedule, such as using a pill planner. 3. Although the client may have multiple conditions that warrant the medications prescribed, it is the job of each provider to obtain a thorough history. Additionally, pharmacists should alert the client and provider to any interaction potentials. 4. Cognitive impairments do occur when clients are on numerous medications. The nurse ensures the client understands their medication regimen and side effect management. 1. Dexamethasone 2. Ketorolac 3. Fluconazole 4. Phenobarbital 5. Atenolol
A community health nurse is using the Omaha System. Which of the following best describes the rationale for using this system?
a. To define each health care provider's role b. To use nursing diagnoses in community health nursing practice c. To foster collaborative practice d. To provide practitioners a method for communication
The nurse has completed a health history on 75-year-old individual who recently lost their spouse. They report losing 20 pounds in the past three months. The nurse can anticipate that the most likely explanation would be:
1. Food insecurity. 2. Depression and sense of loss over spouse's death. 3. Decrease in opportunities for social interactions. 4. Multiple medications.