When caring for a client who has received recombinant tissue plasminogen activator (t-PA), for a large deep vein thrombosis (DVT), the nurse would be most concerned if the client developed which of these?
A. Small amount of blood at the IV insertion site
B. Heavy menstrual bleeding
C. +1 pitting edema of the affected extremity
D. Client stating that the year is 1967
Ans: D. Client stating that the year is 1967
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A nurse is taking a class on providing culturally competent care for clients with severe mental illnesses. Which response best reflects the nurse's self-awareness of the sociocultural factors influencing his or her beliefs?
1. "When I was growing up, my parents believed that mental illnesses were the work of evil spirits." 2. "All that I need to understand about the culture of mental illness is available on the Internet." 3. "My father was a psychiatrist, so I am very knowledgeable about how to work with mental illnesses." 4. "I have been through therapy, so I know what to expect from clients with mental illnesses."
The nurse is teaching a client about low glycemic index foods. Which foods should the nurse provide as examples of those with a low glycemic index? (Select all that apply.)
a. Potatoes b. Oatmeal c. Corn flake cereals d. Sesame see bagels e. Whole grain spaghetti
A stress test is scheduled for a 41-year-old patient. To prepare for the examination, the nurse would:
1. have the patient sign a consent. 2. give the patient a special heart diet. 3. prepare the patient for sedation. 4. remove all metal objects.
A nurse is working in a neonatal intensive care unit, teaching parents how to care for their tiny babies while they are still in the hospital. Which statement by a parent reflects a readiness to learn?
1. "I'm so afraid I'll hurt my baby with all these tubes." 2. "I want to make sure my spouse is here, in case I don't hear everything that's said." 3. "When my baby is just a little bigger, I'll be able to handle him." 4. "You'll give us written instructions before we go home, correct?"