A child is brought to the emergency department after ingesting a grandparent's warfarin (Coumadin) tablets. The nurse will anticipate administering which form of vitamin K?
a. K1 (phytonadione)
b. K2 (menaquinone)
c. K3 (menadione)
d. K4 (menadiol)
ANS: A
For oral anticoagulant overdose, vitamin K1 is the only vitamin K form available for therapeutic use and is most effective in preventing hemorrhage.
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The nurse is attempting to locate the thyroid gland in order to determine if it is enlarged. Where should the nurse palpate the thyroid gland?
A) Mid trachea B) Distal to the carotid arteries C) The lower neck anterior to the trachea D) The upper neck posterior to the trachea
The nurse expects to find renal compensation for an acid-base imbalance in which situation?
a. Mild to moderate dehydration in a middle-aged client who jogged for 2 hours b. Acute asthma attack with wheezing of 6 hours' duration in an older man c. Food poisoning with vomiting for 12 hours in a middle-aged woman d. Hypoxemia for 4 days from pneumonia in an adult woman
Testing the validity and reliability of the resource is the critical first step when accessing information. What is the most reliable source?
a. Textbooks and peer-reviewed journals b. Blogs c. Chat rooms d. Wikis
During a precipitous delivery, the client had a laceration, which the nurse documents as
a second-degree laceration. What does a second-degree laceration indicate? A) Laceration that involves the perineal skin B) Laceration that involves the perineal body C) Laceration that involves the anal sphincter D) Laceration that extends to the anal canal