Which test results would the nurse monitor to determine the effectiveness of heparin therapy?
a. PT
b. aPPT
c. Bleeding time
d. INR
b
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A client with a history of physical and sexual abuse by her husband is admitted to the hospital for treatment of vaginal lacerations. While hospitalized, the client expresses concerns to the nurse about her safety when she returns home
The first priority for the nurse is to: 1. Offer to contact outpatient services if the client promises that she will not return home after her discharge. 2. Encourage the client to take charge of her situation. 3. Make it clear to the client that her husband needs to see a therapist. 4. Assist the client to devise a safety or escape plan.
A group of nurses have attended an inservice on the prevention of occupationally acquired diseases that affect healthcare providers. What action has the greatest potential to reduce a nurse's risk of acquiring hepatitis C in the workplace?
A) Disposing of sharps appropriately and not recapping needles B) Performing meticulous hand hygiene at the appropriate moments in care C) Adhering to the recommended schedule of immunizations D) Wearing an N95 mask when providing care for patients on airborne precautions
The home health nurse is monitoring anticoagulant therapy by assessing prothrombin time (PT) laboratory values. Which action, made by the nurse, is the correct response anticipated for a PT level of 21 seconds?
A) No change is dosage. B) Increase the amount of Coumadin to obtain therapeutic blood level. C) Decrease the amount of Coumadin to obtain therapeutic blood level. D) Hold Coumadin therapy until further blood levels are drawn.
A female patient with a recent diagnosis of end-stage renal disease (ESRD) is scheduled to soon begin hemodialysis. A nephrology nurse has been conducting extensive patient teaching in anticipation of this treatment
What diet should the nurse recommend to minimize her patient's risk of complications and interdialytic weight gain? A) Low-fat diet with an emphasis on simple carbohydrates B) Small, frequent meals with an emphasis on leafy green vegetables C) Low-potassium, high-calorie diet D) Low-protein, low-sodium diet