The nurse is caring for an elderly patient with a history of blood clots. Which of the following medications would be the most effective for this patient?
1. Aspirin
2. Ticlopidine
3. Amiodarone
4. Amitriptyline
Aspirin
Rationale: Aspirin is better to prevent clotting than ticlopidine in the elderly and is less toxic. Amiodarone is a cardiac medication and is not used to prevent blood clots. Amitriptyline is an antidepressant and is not used to prevent blood clots.
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When assessing a patient in the withdrawal stage of substance abuse, the nurse will most likely observe:
A) an increased sensitivity to stress. B) positive emotions. C) balancing desire for drug with the will to abstain. D) consideration of possibility of relapse.
After detoxification from substance abuse, the patient says, "I feel better than I have in years! All I needed was some rest. I am not an alcoholic." The nurse should respond to this by saying:
a. "What were you doing that got you ad-mitted to the detoxification center?" b. "Alcoholism has many definitions. What is yours?" c. "Admitting to alcoholism is hard." d. "Alcoholism has ruined your life. How can you say you are not an alcoholic?"
The nurse is preparing to assess a patient's cognitive function. What should the nurse include in this assessment?
1. ability to smell items placed under the nose while eyes are closed 2. orientation to time, place, and person, and ability to recall recent and past events 3. ability to walk with a smooth, steady gait 4. level of consciousness
The pregnant client and her partner are both 40 years old. The nurse is explaining the options of chorionic villus sampling (CVS) and amniocentesis for genetic testing. The nurse should correct the client if she makes which statement?
1. "Amniocentesis results are available sooner than CVS results are." 2. "CVS carries a higher risk of limb abnormalities." 3. "Amniocentesis cannot detect a neural tube defect." 4. "CVS is performed through my belly or my cervix."