What should you consider before taking emergency actions?
A)
What you can do as a nursing assistant?
B)
Is there anyone to help you?
C)
Can the person in crisis be moved?
D)
all of the above
Answer:
D
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The nurse notes that the patient has developed a hematoma at the knee replacement surgical site with a decreased pedal pulse of the same leg. The most appropriate nursing diagnosis for this patient is:
A) Risk for infection B) Risk of peripheral neurovascular dysfunction C) Ineffective health maintenance D) Self-esteem disturbance
A client taking warfarin after aortic valve replacement surgery reports taking gingko biloba every day. For which reason should the nurse report this information to the healthcare provider?
a. Warfarin may increase the production of clots b. Ginkgo biloba plays a role in synthesis of clotting factors and can increase the risk of clot formation c. Warfarin may decrease the effect of ginkgo biloba and decrease the international normalized ratio (INR) d. Ginkgo biloba alters blood clotting and when combined with warfarin could lead to prolonged bleeding times
A nurse is teaching a class on normal human sexuality. Which information should be included in the class? Select all that apply
A) Hormonal changes in later life will affect sexual responses. B) Sexuality is a basic human need. C) Societal attitudes about sexuality have remained consistent over time. D) Masturbation during childhood could indicate a tendency toward sexual deviance. E) What is defined as masculine and feminine is genetically determined.
For which patient must the drug donepezil (Aricept) for Alzheimer's disease be avoided?
a. 54-year-old woman with early onset Alzheimer's disease b. 67-year-old man who also takes drugs for type 2 diabetes c. 72-year-old woman who is 20 lb underweight d. 72-year old man who is unable to sit or stand