A critical care patient has been receiving a continuous heparin drip for treatment of possible deep vein thrombosis for 4 days. The patient now has developed symptoms consistent with heparin-induced thrombocytopenia (HIT)
What change in therapy does the nurse anticipate?
A) None, as the patient needs anticoagulation for deep vein thrombosis
B) Change of heparin to subcutaneous low-molecular-weight heparin
C) Discontinuation of all heparin and heparin-coated devices
D) Replacement of platelets by transfusion and addition of aspirin therapy
C
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An OB nurse is caring for an unmarried woman who is in labor. The nurse learns the client is unwilling to name the baby's father. A male visitor who comes to visit the client raises the nurse's concern that he might be violent
Which behavior would raise this concern? 1. The visitor states, "I am the baby's father." 2. The client is very anxious with the visitor present. 3. The visitor moves into the nurse's personal space when asking about the client's status. 4. The visitor sits in a chair in the corner of the client's room, rocking and smiling constantly.
An infant is prescribed digoxin. What should the nurse explain to the parents regarding the action of this medication?
A) Increases the heart rate B) Slows and strengthens the heartbeat C) Thickens the walls of the myocardium D) Prevents subacute bacterial endocarditis
A home health nurse visits a stage 4 Alzheimer disease patient who lives at home with a spouse. In order to meet the needs of the spouse, what should the nurse suggest?
1. finding respite care to come into the home several days a week 2. making arrangements for the patient to visit the local senior citizens' center in the afternoon 3. providing the patient a list of daily activities to complete 4. finding placement in a long-term care facility
The nurse is assessing a patient who recently lost a spouse. Which patient statement should indicate to the nurse that the patient is experiencing spiritual distress?
1. "Who is responsible for this?" 2. "Why did this happen to me?" 3. "What should I do about this?" 4. "Who will take care of this problem?"