A nurse is assessing a newly admitted client with thrombocytopenia. Which factor needs immediate intervention?
A. A nosebleed
B. Reports of pain
C. Decreased urine output
D. Increased temperature
Ans: A. A nosebleed
You might also like to view...
The nurse explains the Drug Enforcement Agency's (DEA's) schedule of controlled substances to the nursing assistant who asks, "Do you ever get a prescription for Schedule I medications?" What is the nurse's best response?
A) "Schedule I medications have no medical use so they are not prescribed." B) "Schedule I medications have the lowest risk for abuse and do not require a prescription." C) "Schedule I medications are only prescribed in monitored units for patient safety." D) "Schedule I medications are found in antitussives and antidiarrheals sold over the counter."
When the decision is made with the family to place the patient on hospice care, the home health nurse explains that the reimbursement changes from "fee per visit" to "fee per _________."
ANS:
A patient with a brain tumor is scheduled for a chest x-ray and says "I don't understand why I'm having a chest x-ray when my problem is in my head!" What is the nurse's most appropriate response?
1. "The physician may be trying to determine if this is a metastatic brain tumor, as the most common source of these tumors is cancer of the lung." 2. "This is just a precautionary measure. The physician often prescribes chest x-rays." 3. "Don't get so upset about this! It's routine. The doctor will talk to you later." 4. "The escort is here to take you to radiology, so we'll discuss this when you return."
A nurse educates a patient about how to avoid developing osteoporosis. The nurse recognizes that additional teaching is needed when the patient states:
1. "I will consume dairy products." 2. "I will remain in bed when I have a cold." 3. "I will exercise several times a week." 4. "I will take a daily calcium supplement."