A patient with a history of mitral valve replacement, hypertension, and type 2 diabetes mellitus undergoes emergency surgery to remove an embolus in her right leg. Which factor contraindicates the use of epidural analgesia in this patient?
a. Anticoagulant therapy
b. Diabetes mellitus
c. Hypertension
d. Embolectomy
ANS: A
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The nurse working in the cardiologist's office receives a call from a client diagnosed with angina reporting that he is having chest pain. He has taken nitroglycerine three times, five minutes apart, and is still having chest pain
The nurse provides what instruction to the client? 1. "Have your spouse bring you to the office immediately." 2. "Take three more nitroglycerine tablets at the same time." 3. "Take two aspirin and rest, and call back if the pain does not improve." 4. "Call 911 as soon as we hang up, and lie down until the ambulance arrives."
The ex-husband of a patient asks the ICU nurse a question about the medical history of the patient. The nurse retrieves the patient's file, opens it, and relates some of the patient's personal information to the ex-husband
When the ex-husband asks to see the patient's file, the nurse hands it to him, although he is not authorized by the patient to see this information. What is the most accurate characterization of the nurse's action? A) A criminal act against the patient B) A breaking of the rule of personal liability C) A violation of the HIPAA Privacy Rule D) A case of respondeat superior
In orienting new staff nurses to a pediatric intensive care unit, the nurse manager asks the staff nurses to answer the following question: "What is an important consideration in providing in-formation to parents of a critically ill child?"
a. Making sure that they receive complete information during each encounter with a member of the nursing staff b. Assessing parents' preferences for the amount of information desired c. Allowing parents to observe key aspects of their child's nursing care d. Making sure that patient education bro-chures explaining ICU protocols are rea-dily available
Professional associations:
a. Set regulatory requirements and establish entry requirements for nursing. b. Offer graduate programs for clinical and career advancement. c. Provide opportunities for career network-ing and support. d. Are open to all individuals who meet the criteria for membership.