A patient receiving UFH therapy is ordered to discontinue the therapy and begin low molecular-weight heparin (LMWH) with enoxaparin (Lovenox). What is the priority nursing intervention?
a. Discontinue the UFH at least 30 minutes before the first LMWH injection.
b. Check the APTT results after giving the first LMWH injection.
c. Assess the patient's IV site before starting the LMWH.
d. Check the PT and INR results before giving the first LMWH injection.
Answer: a. Discontinue the UFH at least 30 minutes before the first LMWH injection.
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A nurse preceptor asked a new graduate, "What did the American Academy of Pediatrics (AAP) recommend regarding sleep positioning in 2011?"
Which response by the new graduate would indicate that further clarification is needed? Select all that apply. a. Bottle feeding d. Consider use of a pacifier b. Routine immunizations e. Provide cereal in a bottle at bedtime c. Use a soft sleep surface f. Room-sharing without bed-sharing
A seasoned nurse tells a colleague that she went to nursing school before nursing diagnosis existed. When was nursing diagnosis added as a separate and distinct step in the nursing process?
a. 1959 c. 1974 b. 1963 d. 1985
Which statement is most correct regarding grief?
a. Grief is primarily a psychological response following a loss. b. Grief is primarily a physical response following a loss. c. Grief is usually a one-time response to a loss. d. Grief is a series of intense physical and psychological responses following a loss.
The nurse is doing some teaching with caregivers who are trying to toilet train their 26-month-old child. When teaching toilet-training methods, which of the following behaviors would the nurse most likely recommend to the caregivers?
a. Have the child go without diapers and clean up any feces or urine on the floor themselves. b. Use time-out and withdrawal of privileges for not using the toilet. c. Remind the child as frequently as every 15 minutes about the availability of the toilet. d. Use a calm, relaxed approach, praise for success, and no punishment at all.