The nurse is assessing a client before surgery. Which assessments contraindicate the client having surgery as scheduled? (Select all that apply.)
a. Potassium level of 2.8 mEq/L
b. International normalized ratio (INR) of 4
c. Prothrombin time (PTT) of 30 seconds
d. Calcium level of 8.8 mEq/dL
e. Positive pregnancy test
f. Platelet count of 150,000
A, B, E
Hypokalemia, elevated bleeding times, and a positive pregnancy test could all contradict the client having surgery as scheduled and could lead to complications. Normal PTT, normal calcium, and normal platelet count would not contradict surgery.
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If the client's white blood cell count is 25,000/mm3 on her second postpartum day, the nurse should:
a. Tell the physician immediately. b. Have the laboratory draw blood for reanalysis. c. Recognize that this is an acceptable range at this point postpartum. d. Begin antibiotic therapy immediately.
A researcher studying time and motion measures how long it takes the nurse to do a particular task. The time is recorded in minutes for comparison with other subjects. This is an example of which type of measurement?
a. Interval b. Nominal c. Ordinal d. Ratio
A nurse is assessing a postpartum client who is at home. Which statement by the client would lead the nurse to suspect that the client may be developing postpartum depression?
A) "I just feel so overwhelmed and tired.". B) "I'm feeling so guilty and worthless lately.". C) "It's strange, one minute I'm happy, the next I'm sad.". D) "I keep hearing voices telling me to take my baby to the river.".
When working with a client, you notice that he always tends to stand within 10 to 18 inches of others. The client's peers and the staff complain that this closeness is uncomfortable. The client follows you around the unit
After assessing this client, your MOST likely conclusion will be that this client: a. has developed a bad habit b. is lonely and needs friends c. needs to work on boundary issues d. would benefit from behavior modification