A patient with hemophilia A is bleeding. Which of the following treatments should the nurse anticipate?
a. IM injection of factor VIII
b. IM injection of factor IX
c. IV infusion of factor VIII
d. IV infusion of factor IX
ANS: C
Hemophilia A is treated with factor VIII; hemophilia B is treated with factor IX. Each is available in a freeze-dried powder that is reconstituted with water and administered intravenously. IM (intramuscular) injections would cause bleeding into muscles and are therefore avoided.
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When providing postoperative care for a patient who has undergone limb-sparing surgery to remove a bone tumor, the nurse assesses for which of the following complications from surgery?
A) Nutritional deficiency B) Delayed wound healing C) Loss of body weight D) Pathologic fractures
A nurse is caring for a client with dementia. What measure should the nurse employ when communicating with the client?
A) Give simple, one-step commands. B) Use questions to assist reasoning. C) Wear a nametag for identification. D) Always verbalize all communications.
A nurse is providing discharge teaching for a patient with a fractured humerus. The patient is going home with hydrocodone. Which important patient education does the nurse provide?
a. "You need to drink plenty of fluids and eat a diet high in fiber." b. "Narcotics can be addictive, so do not take them unless you are in severe pain." c. "Be sure to eat a meal high in fat before taking the medication, to avoid a stomach ulcer." d. "As your pain severity lessens, you will begin to give yourself once-daily intramuscular injections."
Servant leadership works best when _____
a. There is a balance of power between the leaders and followers b. Leaders are altruistic and have a strong motivation to help others c. Leaders use a task-oriented approach d. Leaders are willing to leave followers to work on their own