A patient who has a history of coronary artery
disease has been instructed to take one 81-mg aspirin tablet a day. The patient asks about the purpose of this aspirin. Which response by the nurse is correct?
a. "Aspirin is given reduce anxiety."
b. "It helps to reduce inflammation."
c. "Aspirin is given to relieve pain."
d. "It will help to prevent clot formation."
ANS: D
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The mother of a child with diabetes asks the nurse in charge of the family-centered pediatric unit if she might see her child's laboratory reports. The nurse should reply:
a. "Although the actual reports are not shared, I can tell you her blood sugar is 200 mg." b. "I'll write them down for you and bring them to your room." c. "Come to the conference room where we can have privacy while you look at them." d. "I'll notify the physician that you wish to see the reports."
The nurse notes that the electrical cord on an IV infusion pump is cracked. Which action by the nurse is best?
1) Continue to monitor the pump to see if the crack worsens. 2) Place the pump back on the utility room shelf. 3) A small crack poses no danger so continue using the pump. 4) Clearly label the pump and send it for repair.
Nursing strategies to improve the growth and development of the child with human immunodeficiency virus (HIV) infection should include what?
a. Provide only those foods that the child feels like eating. b. Fortify foods with nutritional supplements to maximize quality of intake. c. Weigh the child and measure height and muscle mass on a daily basis. d. Provide high-fat and high-calorie meals and snacks to meet body requirements for growth.
When caring for the client in septic shock, the nurse recognizes fluid replacement is inadequate when which of the following is noted?
1. Urine output 10 milliliters for the last hour 2. Pulse rate of 100 beats per minute 3. MAP 75 4. Central venous pressure is 5 mmHG