A woman with a deep vein thrombosis (DVT) is receiving IV heparin therapy. Which nursing diagnosis does the nurse address as the priority?
A.
Altered family processes
B.
Pain
C.
Risk for injury
D.
Self-care deficit
ANS: C
Heparin has many side effects, including a risk for bleeding. The patient on IV heparin is at high risk for injury. The other diagnoses are important, but safety takes priority.
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When describing the global framework, which of the following would the community health nurse be least likely to include?
A) Population B) Provider C) Procedure D) Physician
A client with hypercholesterolemia is prescribed lovastatin. When instructing the client how to take the drug, which of the following would the nurse include?
A) Taking the drug with his evening meal B) Combining the drug with the artificial sweetener aspartame C) Mixing the drug with highly fluid soups or pulpy fruits D) Taking the drug with grapefruit juice
A client in the PACU with an endotracheal tube should be placed in which position by the nurse?
a. Supine b. Side-lying c. High Fowler's d. Trendelenburg
In 2010, the revised Standards and Scope of Gerontological Nursing Practice was published. The nurse would use these standards to
a. promote the practice of gerontologic nursing within the acute care setting. b. define the concepts and dimensions of gerontologic nursing practice. c. elevate the practice of gerontologic nurs-ing. d. incorporate suggested interventions from others who practice gerontologic nursing.