The nurse observes that a client who had an arterial blood gas performed 30 minutes ago is still oozing blood from the puncture site. Pressure was held to the site for 5 minutes after the puncture and another 5 minutes when the site was still oozing
What factor does the nurse know will participate in the ability for the blood to clot? A) Platelets
B) Leukocytes
C) Erythrocytes
D) Albumin
A
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Platelets participate in clotting blood. Leukocytes protect against infection. Erythrocytes transport oxygen, and albumin affects intravascular osmotic pressure.
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The expected outcome (goal) for a patient with Disturbed Sleep Pattern is that she will:
1) Limit exercise to 1 hour per day early in the day. 2) Consume only one caffeinated beverage per day. 3) Demonstrate effective guided imagery to aid relaxation. 4) Verbalize that she is sleeping better and feels less fatigued.
A nurse is caring for a postoperative patient who has a nasogastric tube with continuous suction. The nurse notes that the patient has shallow respirations and suspects that this patient has devel-oped:
a. metabolic acidosis. b. metabolic alkalosis. c. respiratory acidosis. d. respiratory alkalosis.
The nurse auscultating heart sounds would recognize that the normal closure of the mitral and tricuspid valves creates the
a. apical pulse. b. atrial gallop. c. S1 heart sound. d. S2 heart sound.
A nurse is completing an exposure history using the mnemonic I PREPARE. What data would a nurse collect when asking questions about the first "P"?
a. Present work b. Potential exposures c. Personal protective equipment use d. Past work