The patient at risk for GI hemorrhage should be monitored for which of the following signs and symptoms?
a. Metabolic acidosis and hypovolemia
b. Decreasing hemoglobin and hematocrit
c. Hyperkalemia and hypernatremia
d. Hematemesis and melena
D
The initial clinical presentation of the patient with acute gastrointestinal (GI) hemorrhage is that of a patient in hypovolemic shock; the clinical presentation depends on the amount of blood lost. Hematemesis (bright red or brown, coffee grounds emesis), hematochezia (bright red stools), and melena (black, tarry, or dark red stools) are the hallmarks of GI hemorrhage.
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A client recovering from a stroke is being discharged on oral warfarin sodium (Coumadin). During discharge teaching, which statement by the client would reflect an understanding of the effects of this medication?
1. "I will stop taking this medicine if I notice any bruising.". 2. "I will not eat spinach while I'm taking this medicine.". 3. "It will be okay for me to eat anything, as long as it is low-fat.". 4. "I'll check my blood pressure frequently while taking this medication.".
A patient who had an amputation just below the knee several days ago expresses confusion about why a foot that has been amputated is still causing intense pain. A nurse explains that the type of pain experienced by the patient is
1. Cutaneous pain. 2. Deep somatic pain. 3. Neuropathic pain. 4. Soft-tissue pain.
What teaching will you provide K.W. based on this option?
What will be an ideal response?
How can you help a new resident know the names of other residents?
a. Introduce the person to other residents. b. Have the other residents wear nametags. c. Write down their names. d. Give the person his/her photos.