A patient who will undergo surgery in implant a biosynthetic heart valve asks the primary care NP whether any medications will be necessary postoperatively. The NP should tell the patient that it will be necessary to take:
a. daily low-dose aspirin for 1 year.
b. heparin injections as needed based on activated partial thromboplastin time levels.
c. lifelong warfarin combined with enoxaparin as needed.
d. warfarin for 3 months postoperatively plus long-term aspirin.
D
Patients with biosynthetic valves should receive anticoagulation for 3 months with long-term aspirin prophylaxis. Patients with biosynthetic valves should receive anticoagulation for 3 months (INR goal, 2 to 3). Long-term prophylaxis for these patients should include aminosalicylic acid (75 to 100 mg daily), unless AF is present.
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Mr. Jones, 84 years old, reports to the nurse that he is concerned about something "being wrong" with him. He reports a decreased reaction time while driving and some dizziness when getting out of his car. These symptoms are
a. Indicative of senile dementia b. Part of the normal aging process c. Secondary to diet d. Indicative of decreased mental capabilities
Which of the following groups has the highest poverty rate in the United States?
a. Married couples with several children b. Single female heads of household c. Single male heads of household d. Two adults cohabitating when one is unemployed
A woman calls the emergency department and says, "My 2-year-old just swallowed about 20 of my magnesium tablets." What direction should the nurse provide?
1. "Call 911 to bring your child to the emergency room immediately." 2. "Watch your child for decreased breathing." 3. "Give your child a glass of milk." 4. "Your child may be sleepy, but will not have any permanent damage." 5. "Give your child a laxative tonight and come to the emergency room in the morning."
You complete your admission assessment and note the following abnormalities: B.K. is restless and alert,lying on her right side in a semifetal position
Assessment findings are as follows: skin is cool, diaphoretic, and pale with poor skin turgor; mucous membranes are dry. Heart rhythm is regular, rate 96, without murmurs or rubs. Peripheral pulses are faintly palpable in four extremities. Respiration rate 24, but unlabored on 2 L O 2/NC with spo2 90%. Breath sounds are absent in lower left lobe (LLL) posteriorly—otherwise, clear to auscultation throughout. she complains of nausea and is having dry heaves. Bowel sounds are hypoactive. Abdomen is distended, firm, and tender in a diffuse fashion to light palpation, with guarding noted. Your institution uses electronic charting. Based on the assessment given, which of the following systems would you mark as "abnormal" as you document your findings? Mark abnormal findings with an X and provide a brief narrative. X Abnormal ? Neurologic ? Respiratory ? Cardiovascular ? Gastrointestinal ? Genitourinary ? Musculoskeletal ? Skin ? Psychosocial ? Pain ? Neurologic: Restless and alert, lying on her right side in a semifetal position. ? Respiratory: Respirations rapid, rate 24, unlabored on 2 L O2/NC with Spo2 90%. Breath sounds are absent in LLL posteriorly. ? Cardiovascular: Peripheral pulses are faintly palpable in four extremities. ? GI: Complains of nausea; having dry heaves. Bowel sounds hypoactive. Abdomen distended, firm, and tender in a diffuse fashion to light palpation, with guarding noted. ? Genitourinary: ? Musculoskeletal: ? Skin: Skin cool, diaphoretic, and pale with poor skin turgor; mucous membranes are dry. ? Psychosocial: ? Pain: