A nurse cares for a client recovering from prosthetic valve replacement surgery. The client asks, "Why will I need to take anticoagulants for the rest of my life?" How should the nurse respond?
a. "The prosthetic valve places you at greater risk for a heart attack."
b. "Blood clots form more easily in artificial replacement valves."
c. "The vein taken from your leg reduces circulation in the leg."
d. "The surgery left a lot of small clots in your heart and lungs."
ANS: B
Synthetic valve prostheses and scar tissue provide surfaces on which platelets can aggregate easily and initiate the formation of blood clots. The other responses are inaccurate.
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It is reported that a client has leukocytosis. When checking the laboratory results, the nurse will expect to find:
1. White blood cell count is less than 5000/mm3. 2. Eosinophil count is less than 5%. 3. Neutrophil count is greater than 50%. 4. White blood cell count is greater than 10,000/mm3.
A clinic nurse is providing preprocedure education for a man who will undergo a vasectomy. Which of the following measures will enhance healing and comfort? Select all that apply
A) Abstaining from sexual intercourse for at least 14 days postprocedure B) Wearing a scrotal support garment C) Using sitz baths D) Applying a heating pad intermittently E) Staying on bed rest for 48 to 72 hours postprocedure
The nurse needs to access the Cumulative Index of Nursing and Allied Health Literature (CINAHL). Where should the nurse go to access this database?
Select all that apply. 1. Public library 2. Medical school library 3. Library within the hospital 4. Public school district library 5. Library at the local university
What type of challenge occurred when the problem employees encountered was clearly defined but difficult to solve?
a. An adaptive challenge b. A technical challenge c. A technical and adaptive challenge d. A non-challenge