The nurse on a unit that specifically treats patients with hemophilia has just taken report. Which patient should the nurse see first?
a. The patient who complains of knee pain
b. The patient who complains of trouble breathing
c. The patient who complains of hip pain
d. The patient with a mild nosebleed
ANS: B
Bleeding near the pharynx can cause a life-threatening restriction of airflow.
Spontaneous bleeding occurs most often in the knee, followed by the elbow, ankle, shoulder, and hip. Joint bleeding causes swelling and, sometimes, intense pain. However, these patients would not be seen before a patient having trouble breathing.
A mild nosebleed would not be the first priority, given that another patient is having trouble breathing.
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With sudden cessation of renal function, all body systems are affected by the inability to maintain fluid and electrolyte balance and eliminate metabolic waste. In critically ill patients, renal dysfunction:
a. is a very rare problem. b. affects nearly two thirds of patients. c. has a low mortality once renal replacement therapy has been initiated. d. has little effect on morbidity, mortality, or quality of life.
Which statements by the patient would the nurse evaluate as indicating a need for additional teaching about hypertension? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. "Hypertension affects my blood vessels only if I have other underlying health problems." 2. "Hypertension causes my blood vessels to become inflamed and reduces the blood supply to my organs if left untreated." 3. "Hypertension damages my blood vessels even if I don't have any symptoms." 4. "I will be more prone to heart disease and eye problems if I discontinue my blood pressure medications." 5. "As long as I take my medications, I am cured of hypertension.".
Which therapeutic activity would be most important in helping a patient diagnosed with schizophrenia remain in the work force?
a. Social skills training b. Physical therapy to develop muscle strength c. Occupational therapy to improve coordination d. Group therapy to improve motivation for working
Common over-the-counter pain relievers such as acetaminophen or ibuprofen:
1. Are always safer for the patient than prescription pain medication 2. Are harmful if taken in higher than recommended amounts 3. Have minimal interaction with prescription medications 4. Should never be given to children unless recommended by their provider ____