An adult patient has been hospitalized with thrombocytopenia with a platelet count of 8000/mm3. What action by the healthcare professional is most appropriate?
a. Tell the patient not to get out of bed without assistance.
b. Prepare the patient for transfusions of whole blood.
c. Educate the patient on side effects of heparin.
d. Nothing; this finding is normal in an adult.
Answer: a. Tell the patient not to get out of bed without assistance.
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The nurse is working with a client who exhibits a pervasive, excessive, and unrealistic need to receive care. This client's behavior is a characteristic of which of the following personality disorders?
1. Histrionic personality disorder 2. Narcissistic personality disorder 3. Dependent personality disorder 4. Avoidant personality disorder
A nurse working in a long-term care facility is admitting an 85-year-old resident of Hispanic descent diagnosed with Alzheimer disease. What should this nurse take into consideration when caring for the resident? (Select all that apply.)
a. Cultural background has an important role in determining the resident's status b. The resident will be culturally sensitive to caregivers c. Home remedies may have value even if harmful d. The resident will have a strong sense of trust for health care workers e. Communication should involve gesturing whenever possible
An older patient has recently been diagnosed with moderate stage AD. The nurse practitioner orders a noncompetitive receptor antagonist such as Namenda. The nurse would instruct the patient and family that this medication:
a. stops the decline of the disease b. is taken over a long period of time to achieve best results c. may result in significantly higher function over time d. b and c only
Nurses generally experience difficulty in identifying behaviors and actions that could signal chemical dependency in a co-worker. Which of the following is not a behavioral change that oc-curs with chemical dependency?
a. Personality and behavioral changes b. Job performance changes c. Changes in educational involvement and pursuit d. Absenteeism