A client who has been receiving heparin therapy also is started on warfarin. The client asks a nurse why both medications are being administered. In formulating a response, the nurse incorporates the understanding that warfarin:
a. Stimulates the breakdown of specific clotting factors by the liver, and it takes 2-3 days for this to exert an anticoagulant effect.
b. Inhibits synthesis of specific clotting factors in the liver, and it takes 3-4 days for this medication to exert an anticoagulant effect.
c. Stimulates production of the body's own thrombolytic substances, but it takes 2-4 days for this to begin.
d. Has the same mechanism of action as Heparin, and the crossover time is needed for the serum level of warfarin to be therapeutic.
Ans: b. Inhibits synthesis of specific clotting factors in the liver, and it takes 3-4 days for this medication to exert an anticoagulant effect.
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Pentazocine is prescribed for a child with moderate pain. The nurse identifies this drug as an example of which type?
A) Nonsteroidal anti-inflammatory drug (NSAID) B) Prostaglandin inhibitor C) Opioid D) Mixed opioid agonist–antagonist
Which of the following services are provided by home health agencies? Choose all that apply
1) Direct care of clients in the home, performing treatments 2) Indirect care such as provision of medication and supplies 3) Acute care services for clients with complex diseases 4) Respite care of clients to relieve family caregivers
The nurse is preparing an educational program for parents of children with celiac disease. To develop a successful program for this community, which of the following concepts is important for the nurse to employ?
1. It is important to treat this relationship with the community as a partnership. 2. The nurse alone has the power to shape and influence the behaviors of the community members. 3. There is usually no need to include community leaders when developing a program for the community. 4. Current community values only play a small role in changing behaviors of community members.
The agency most heavily involved with the health and welfare concerns of U.S. citizens is:
1. U.S. Department of Health and Human Services 2. Public Health Service 3. Health Resources and Services Administration 4. World Health Organization