Which problem reported by a patient with hemophilia is most important for the nurse to communicate to the physician?
a. Leg bruises
b. Tarry stools
c. Skin abrasions
d. Bleeding gums
ANS: B
Melena is a sign of gastrointestinal bleeding and requires collaborative actions such as checking hemoglobin and hematocrit and administration of coagulation factors. The other problems indicate a need for patient teaching about how to avoid injury, but are not indicators of possible serious blood loss.
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The nurse assesses a patient whose recent blood gases showed a pH of 7.32 . The patient's respirations are 34 per minute. Select the correct analysis of this scenario
a. The patient's rapid breathing is causing the low pH. b. The patient's rapid breathing is an attempt to compensate for the low pH. c. The nurse should supply the patient with a paper bag to rebreathe in order to correct the low pH. d. The nurse should sedate the patient to slow the respiratory rate.
The nurse caring for a client with suspected appendicitis knows that the pain associated with appendicitis is
a. cutaneous pain. b. somatic pain. c. superficial pain. d. visceral pain.
Which is true about older adults?
1) They have short medical histories. 2) They believe old wives' tales more than traditional medicine. 3) They may not report all symptoms as significant. 4) All of the above.
The nurse is reviewing prenatal charts. A patient at 24 weeks has a history of class II heart disease secondary to rheumatic fever. What would the nurse expect to see in the chart?
1. Dyspnea and chest pain with mild exertion 2. Elective cesarean birth scheduled for 37 weeks 3. Discussed need for labor epidural and vacuum extraction 4. Respiratory rate 28, pulse 110, 3+ pre-tibial edema bilaterally