Which client does the nurse determine has the highest risk for a bleeding disorder during heparin therapy?
1. A 10-year-old client who has viral infection
2. A female client who gave birth 6 weeks ago
3. A male client who takes naproxen (Naprosyn)
4. A 60-year-old client who has a nephrolithiasis
3
3. The male client who takes naproxen (Naprosyn) has the highest risk of a bleeding disorder complicating heparin therapy because naproxen is a nonsteroidal an-ti-inflammatory agent with known risk factors for bleeding, especially gastrointestinal bleeding.
2. The client who gave birth 6 weeks ago probably has the second highest risk; how-ever, at 6 weeks post partum, involution is usually complete, so hemorrhaging from the uterus is unlikely.
1 and 4. The remaining clients with a viral infection and a nephrolithiasis have a lower risk of bleeding while on heparin.
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A student nurse has just finished presenting an educational program for residents of a retirement community regarding unsafe medication practices. Which of the following statements from a resident would indicate the need for further education?
A) "I will not take medication that has been prescribed for my wife." B) "I will not take medication that is more than 1 year old." C) 'It's okay to buy medication from an Internet pharmacy, as long as it says the medication was made in the United States or Canada." D) "I will buy all of my medication from the same pharmacy."
The client is on PEEP of 10 cm of H2O. The nurse ensures that which of the following is utilized for this client?
1. Closed-system suctioning 2. Oral care daily 3. Open-system suctioning 4. Vital signs every shift
The nurse who is reviewing the record of a client admitted to the mental health unit notes that the client was admitted by voluntary status, which indicates that:
1. The admission was mandated by court order. 2. The admission was made without the client's consent. 3. The client has the right to demand and obtain release from the hospital. 4. The client was committed by a group of designated mental health professionals.
A community health nurse has invited several agencies in the community to a meeting to discuss the disaster plan for the community. Which of the following best describes the purpose of this meeting?
a. To increase stability in the community b. To improve overall community functioning c. To manage response to disasters in the community d. To enhance communication among agencies in the community