A client is taking warfarin 5 mg/day for atrial fibrillation. The client's international normalized ration (INR) is 3.8. The nurse would consider the INR to be what?
a. Within normal range
b. Elevated INR range
c. Low INR range
d. Low average INR range
Answer: b. Elevated INR range
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The nurse is reviewing the plan of care for a client with delirium. Which interventions will the nurse include in the care for this client? Select all that apply.
A) Apply arm restraints to prevent self harm B) Allow client to eat alone during mealtimes C) Provide a calm, well-lit environment D) Reduce sound in the client's room at night E) Avoid constant observation to increase autonomy and security
An 89-year-old patient is taking an antihypertensive medication. Home care teaching by the nurse would include instructing the patient to:
1. get up out of bed slowly. 2. take hot baths. 3. report sexual dysfunction immediately. 4. stop taking the drug if side effects occur.
A patient who has undergone a dilation and curettage for early pregnancy loss is likely to be discharged the same day
The nurse must ensure that vital signs are stable, bleeding has been controlled, and the woman has adequately recovered from the administration of anesthesia. To promote an optimal recovery, discharge teaching should include (choose all that apply): a. Iron supplementation. b. Resumption of intercourse at 6 weeks following the procedure. c. Referral to a support group if necessary. d. Expectation of heavy bleeding for at least 2 weeks. e. Emphasizing the need for rest.
The nurse assists the client who had a recent cerebral vascular accident (CVA or stroke) with feeding and the client begins to choke. Which intervention is the best choice to meet the client's priority need?
1. Provide oxygen. 2. Suction the client. 3. Call for assistance. 4. Recline the client.