A patient with a deep vein thrombosis (DVT) is going to be weaned from intravenous heparin. When should the nurse anticipate that oral warfarin sodium would be prescribed?
1. the same day the heparin is discontinued
2. the day before the heparin is discontinued
3. four to five days before the heparin is discontinued
4. the same day as the heparin is started
Correct Answer: 3
Oral anticoagulation with warfarin may be initiated concurrently with heparin therapy. Overlapping heparin and warfarin therapy for four to five days is important because the full anticoagulant effect of warfarin is delayed, and it may actually promote clotting during the first few days of therapy.
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A nurse collaborates with an unlicensed assistive personnel (UAP) to provide care for a client who is in the healing phase of acute pancreatitis. Which statements focused on nutritional requirements should the nurse include
when delegating care for this client? (Select all that apply.) a. "Do not allow the client to eat between meals." b. "Make sure the client receives a protein shake." c. "Do not allow caffeine-containing beverages." d. "Make sure the foods are bland with little spice." e. "Do not allow high-carbohydrate food items."
When irrigating a client's ear, the nurse avoids occluding the ear canal with the tip of the syringe while instilling the solution. Why should the nurse take such a precaution?
A) Foreign bodies may swell and become tightly fixed. B) The pressure of the trapped solution could rupture the eardrum. C) Drainage may saturate the client's gown and bed linen. D) Dehydrated bodies may become lodged at the tip of the syringe.
A nursing instructor is describing the concept of immunity. The instructor determines that the teaching was successful when the students identify that cell-mediated immunity protects the body against what type of infections? Select all that apply
A) Viral B) Protozoal C) Fungal D) Bacterial E) Helminth
You are writing a care plan for a patient with a nasogastric tube. What would be a major nursing diagnosis for this patient?
A) Risk of infection related to tube feedings B) Risk for impaired skin integrity due to reflux of gastric contents C) Improved body image related to presence of tube D) Acute pain