Which client is at greatest risk for the development of a pulmonary embolism?

A. 40-year-old woman who has used oral contraceptives for the past 15 years and who had abdominal surgery yesterday for cancer
B. 60-year-old man who caught his right hand in a piece of machinery and has five broken fingers, with extensive soft tissue damage
C. 30-year-old athlete who lifts weights and was diagnosed with a pneumothorax yesterday
D. 50-year-old woman who has fragile capillaries and bruises very easily


A
This client has several risk factors. She is at risk for deep vein thrombosis because of oral con-traceptive use. The abdominal surgery also increases her risk, as does a diagnosis of cancer.

Nursing

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A certified nurse?s aide (CNA) has been reported to the nurse manager for refusing to wash her hands between giving clients their morning care. Which of the following statements by the nurse manager would be the most effective?

1. ?Do you need a class on hand washing?? 2. ?Forgetting to wash your hands between clients can lead to spread of infection.? 3. ?Why do you refuse to wash your hands?? 4. ?If I hear of any more instances of your not washing your hands, I will write you up.?

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What are the intended responses of the trace mineral zinc? (select all that apply)

a. Helps blood clot b. Supports protein structures c. Strengthens bones d. Essential for taste and smell e. Supports the immune system f. Assists with iron metabolism

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Which assessment finding would the nurse need to report most quickly to the health care provider regarding a patient with acute pancreatitis?

a. Nausea and vomiting b. Hypotonic bowel sounds c. Abdominal tenderness and guarding d. Muscle twitching and finger numbness

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When working with a suicidal client, the nurse can reduce the risk of suicide attempts by the client BEST through which of the following actions?

a. getting the client engaged in activities during all waking hours b. having the client increase contact with his or her family c. having the client sign a written no-suicide contract d. providing numbers where the client can reach the nurse 24 hours a day

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