A client has been admitted through the emergency department and requires emergency surgery. The client has been receiving heparin. What nursing intervention is essential?
a. Teach the client about the phenytoin.
b. Administer protamine sulfate.
c. Assess the INR before surgery.
d. Administer vitamin K.
Answer: b. Administer protamine sulfate.
You might also like to view...
When a patient is receiving vasopressin (Pitressin), the nurse will monitor for which therapeutic response?
a. Improved appetite b. Increased serum albumin levels c. Increased serum potassium levels d. Decreased urinary output
While caring for a patient with a pulmonary arterial catheter, the nurse notes that the number of centimeters of exposed catheter has decreased. What nursing action is indicated?
1. Report this finding immediately; the patient may need another chest X-ray to check for placement. 2. Flush the ports. 3. Obtain a pulmonary artery occlusion pressure. 4. Zero balance the system.
The nurse is planning the discharge of a patient. Which of the following activities would be considered as discharge planning?
1. Ordering oxygen to be used at home 2. Evaluating how long the patient was in the hospital 3. Counting the number of times the patient went to physical therapy 4. Helping the patient complete health insurance paperwork
When obtaining a drug history from Harold, he gives you a complete list of his prescription medications. He denies taking any other drugs, but you find that he occasionally takes aspirin for his arthritis flare ups. This is an example of:
1. His appropriately only telling you about his regularly prescribed medications 2. His hiding information regarding his inappropriate use of aspirin from you 3. A common misconception that intermittently taken over-the counter medications are not an important part of his drug history 4. A common misuse of over-the-counter aspirin