A patient is prescribed warfarin (Coumadin) for chronic atrial fibrillation. Which laboratory value will be used to monitor the effects of this medication?

1. Platelet count
2. Hematocrit and hemoglobin
3. Partial thromboplastin time (PTT)
4. PT reported as international normalized ratio (INR)


4
Rationale: The platelet count is not affected by warfarin and is not used to monitor the effects.

Nursing

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The type of power demonstrated by nurses who influence others with the information they provide to the group is referred to as:

a. expert power c. information power b. connection power d. legitimate power

Nursing

A client hospitalized for worsening renal failure suddenly becomes restless and agitated. The assessment reveals tachycardia and crackles bilaterally at the bases of the lungs. What con-clusion can the nurse draw from this information?

A. The client requires an antianxiety agent. B. The client is developing pulmonary edema. C. The client has not taken the prescribed medications. D. The client is upset about the decline in kidney function.

Nursing

Access to care refers to the:

a. availability of health care. b. degree to which services are comprehensive. c. overall use of mental health services in a community. d. convenience and ease of obtaining service and information.

Nursing

Which action by the nurse is appropriate when teaching the parents of a 2-year-old child during a scheduled health maintenance visit?

1. Encouraging the parents to allow the child to pour liquids using a pitcher 2. Being sure that all major foods group have been introduced to the child 3. Teaching the parents that it is appropriate to switch from whole to 2% milk 4. Educating the child about food groups

Nursing