Which hematologic problem would the nurse expect the client with liver failure to have?
A. Prolonged bleeding after IM injections
B. Elevated blood pressure from hypercellularity
C. Increased formation of thromboses in deep veins
D. Spontaneous bleeding from the gums and mucous membranes
A
The liver synthesizes several clotting factors and prothrombin. Loss of these functions in liver failure decreases clotting efficiency, causing prolonged bleeding from injections and minor trauma.
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For which of the following behaviors would limit setting be most essential? The client
a. clings to the nurse and asks for advice about inconsequential matters. b. is flirtatious and provocative toward staff members of the opposite sex. c. displays hypervigilance and refuses to attend unit activities. d. urges a suspicious client to hit anyone who stares at him.
____ relates to the characteristic of having a high level of specialized skill and knowledge
a. Profession c. Wisdom b. Expertise d. Skill
Which of the following are types of specimens that nursing assistants may be asked to collect?
A. Blood and sputum B. Spinal fluid and urine C. Urine, stool, and sputum D. Urine, stool, and blood
The nurse assesses a patient's right hand IV site to be infiltrated. Appropriate nursing actions include (Select all that apply.)
a. stopping the infusion. b. attempting to aspirate the medication. c. elevating the affected limb. d. checking capillary refill. e. removing the catheter as directed by policy.