The nurse is caring for a patient with disseminated intravascular coagulation who is bleeding from the gastrointestinal tract with a platelet count of 45,000. Which of the following would be indicated to treat this patient?
1. heparin
2. coumadin
3. intravenous platelets
4. aspirin
3
Rationale: Thrombocytopenia may be treated with the administration of concentrated platelets if the patient is actively bleeding or has a platelet count of less than 50,000. Heparin is beneficial when disseminated intravascular coagulation is secondary to metastatic carcinoma, dead fetus syndrome, and aortic aneurysm. Since the patient is bleeding from the gastrointestinal tract, intravenous platelets would be indicated. Coumadin and aspirin are not indicated in the treatment of this disorder.
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During the second and third trimesters of pregnancy, the nurse would advise a pregnant client with diabetes that her needs for insulin will:
A) decrease B) increase C) remain the same D) fluctuate greatly
The student nurse is aware that using the components of reasoning, including such things as purpose, assumptions, developing conclusions, will allow the student to figure things out or to solve problems
Which of the following is an additional component of reasoning? a. sources of data c. historical perspective b. implications and consequences d. rationalizations
During a blood pressure screening at a pharmacy an older person experiences a fluttering in the chest. What should the nurse interpret this finding as being?
1. Hypothyroidism 2. Exercise intolerance 3. Nonspecific cardiac changes with aging 4. Underlying illness that requires a medical evaluation
The client has a consistent and regular slow heart rate, averaging 56 beats/min. The client has no adverse symptoms associated with this bradycardia and is not being treated for it
Which of the following activity modifications should the nurse suggest to avoid further slowing of the heart rate? A. "Make certain that your bath water is warm (100° F)." B. "Avoid bearing down or straining while having a bowel movement." C. "Avoid strenuous exercise, such as running, during the late afternoon." D. "Limit your intake of caffeinated drinks to no more than two cups per day."