A patient has been discontinued from warfarin (Coumadin) therapy for 3 weeks. Which laboratory test indicates to the nurse that all effects of the warfarin have been eliminated?
a. International normalized ratio (INR) of 0.9
b. Red blood cell count of 5 million/mm3
c. Hemoglobin of 16 g/dL
d. Hematocrit of 42%
A
Warfarin therapy increases the INR, which normally ranges between 0.7 and 1.8 . Therapeutic warfarin levels should maintain the INR between 2.0 and 3.0 . When the effects of warfarin are no longer present, the INR returns to normal levels. Warfarin therapy does not affect white blood cell count, serum ferritin levels, or the reticulocyte count.
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A patient admitted for delirium demonstrates increased disorientation and agitation only during the evening and nighttime. What is the term applied to this type of delirium?
a. Disordered thinking b. Schizophrenia c. Dementia d. Sundowning syndrome
How should the nurse instruct the mother who calls the emergency department because her 9-year-old child has just fallen on his face and one of his front teeth fell out?
a. Put the tooth back in the child's mouth and call the dentist right away. b. Place the tooth in milk or water and go directly to the emergency department. c. Gently place the tooth in a plastic zippered bag until she makes a dental appointment. d. Clean the tooth and call the dentist for an immediate appointment.
Which activity does the nurse engage in during evaluation? Select all that apply
A) Collect data to determine whether desired outcomes are met. B) Assess the effectiveness of planned strategies. C) Adjust the time frame to achieve the desired outcomes. D) Involve the client and family in formulating desired outcomes. E) Initiate activities to achieve the desired outcomes.
A patient newly diagnosed with cancer is admitted to the hospital, and the provider orders oxycodone (OxyContin) every 4 to 6 hours PRN pain
The patient requests pain medication whenever he reports pain as a 7 or 8 on a scale of 1 to 10 (10 being the worst pain), but he tells the nurse the medication is not working well. The nurse will contact the provider to discuss: a. a fixed dosing schedule for the oxycodone. b. intramuscular meperidine (Demerol). c. intravenous morphine sulfate. d. transdermal fentanyl.