A patient who is obese is preparing to have surgery. To help prevent venous thromboembolism (VTE), the primary care NP should prescribe:
a. low-dose aspirin once daily.
b. clopidogrel (Plavix) 75 mg once daily.
c. enoxaparin (Lovenox) 30 mg twice daily.
d. warfarin (Coumadin) titrated to achieve an INR of 3.5.
C
The American College of Clinical Pharmacy recommends against the use of aspirin alone for prophylaxis of VTE. Patients undergoing surgery who are at moderate to high risk for VTE should receive unfractionated heparin or low-molecular-weight heparin, such as enoxaparin. Aspirin may be part of the prophylaxis regimen. Clopidogrel and warfarin are not recommended.
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Wilhelmina, an RN for over 6 years, had her licensed suspended because an audit of her continuing education credits showed that she had not met the mandatory course requirements. The Board of Nursing has the ability to do this based on:
A) Case law B) Administrative law C) Civil law D) Statutory law
A parent brings a child to the clinic with concerns about the child's inability to sit alone. The nurse explains that development is based on in-born timetables and the child will be most likely able to meet this milestone at a specific time
The nurse is basing this information on which theory of growth and development? 1. Havighurst's theory 2. Task theory 3. Psychosocial theory 4. Maturational theory
A nurse is preparing to perform a complete neurologic exam. Place the assessments in the most appropriate sequence for the nurse to perform them
A) Cranial nerves B) Reflexes C) Mental Status D) Motor/cerebellar function E) Sensory system
An adult patient with Bell palsy asks if the facial paralysis and distortion will go away. How should the nurse response to this patient?
A. "Most people have permanent facial paralysis on one side of the face." B. "Everyone recovers from Bell palsy in three to five weeks." C. "Most people have permanent facial paralysis on both sides of the face." D. "Most people recover completely within a few weeks to a few months."