The nurse identifies deficient knowledge regarding warfarin when a patient states, "I will:
1. avoid participating in contact sports."
2. take my medication in the early evening each day."
3. take aspirin if I get a headache."
4. contact my physician if I develop excessive bruising."
Correct Answer: 3
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Stored fat that insulates the body and serves as a cushion to protect organs is called:
a. subcutaneous tissue. b. adipose tissue. c. cohesive tissue. d. lipid tissue.
The client tentatively diagnosed with a borderline personality is admitted to the psychiatric unit for control of symptoms. Based on a thorough understanding of personality disorders, the nurse would select which nursing diagnosis as the priority?
1. Ineffective coping 2. Chronic low self-esteem 3. Risk for self-mutilation 4. Social isolation
A nurse is describing the procedure for testicular self-examination (TSE) to a male client. Which statement should the nurse make to the client?
A. "A good time to examine the testicles is just before you take a shower." B. "If you notice an enlarged testicle or a lump, you need to notify the physician." C. "The testicle is egg-shaped and movable. It feels firm and has a lumpy consistency." D. "Perform a testicular exam at least every 2 months to detect early signs of testicular cancer."
The nurse decides it would be beneficial to the client to allow the client's infant granddaughter to visit before the client's scheduled heart transplant. Before implementing this intervention the nurse should collaborate with which of the following?
A. Client and Family B. Other nursing staff on the unit C. Security department D. Hospital administration E. This is not a collaborative intervention so no collaboration will be needed prior to implementation