What instructions should the nurse provide to a client at risk of deep vein thrombosis who is being discharged home with low–molecular weight heparin?
A. "You must have your aPTT checked every 2 weeks."
B. "Massage the injection site after the heparin is expelled."
C. "Notify your health care provider if your stools appear tarry."
D. "You will have a heparin lock placed before discharge for injection of the medi-cation."
C
As with any anticoagulation, low–molecular weight heparin incurs a risk of bleeding. Clients should be taught to report the presence of tarry stools, bleeding gums, hematuria, ecchymosis, or petechiae to their health care provider.
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In addition to prior treatment for sexually transmitted infections (STIs) and sexual orientation, which of the following is a pertinent part of a client history when screening for sexually transmitted diseases?
a. year of first sexual intercourse b. racial origin c. attendance at sex education classes d. number of sexual partners over the last 6 months
A patient who has been receiving norepinephrine (Levophed) at a rate of 10 mcg/min will have the drug discontinued. How should the nurse plan to manage this intervention?
1. Stop the infusion, but leave normal saline infusing at a rate to keep the vein open. 2. Stop the infusion and place an intermittent infusion cap on the IV access device. 3. Decrease the rate to 5 mcg/min for 30 minutes before discontinuing the infusion. 4. Decrease the rate by 1 mcg/min every 30 minutes while monitoring the patient's response.
The nurse is teaching the mother of a 10-month-old baby on the method to administer nystatin liquid as treatment for thrush. Which technique should the nurse instruct the mother to use?
A) Administer it immediately after meals. B) Give it just prior to meals for best absorption. C) Give it mixed with orange juice to disguise the taste. D) Administer it mixed with milk to decrease stomach irritation.
A hospitalized patient who is taking demeclocycline (Declomycin) reports increased urination, fatigue, and thirst. What will the nurse do?
a. Contact the provider to report potential toxic side effects. b. Notify the provider to discuss changing the medication to doxycycline. c. Perform bedside glucometer testing to evaluate the serum glucose level. d. Provide extra fluids and reassure the patient that these are expected side effects.