A patient who has been receiving heparin subcutaneously for 3 weeks has all of the following laboratory blood test values. Which value does the nurse report immediately to the prescriber?
a. Activated partial thromboplastin time 1.5
b. International normalized ratio (INR) 1.7
c. Red blood cells 4.2 million/mm3
d. Platelets 20,000/mm3
D
The normal range for platelets is 200,000 to 400,000/mm3 . Platelets are needed for blood clotting. This patient's platelet count is extremely low and he or she is at grave risk for severe bleeding. The low platelet count is an indication of an adverse reaction to heparin known as he-parin-induced thrombocytopenia (HIT). The heparin needs to be discontinued and the patient needs to receive platelet therapy before life-threatening hemorrhage occurs.
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The nurse is educating a client about blood pressure values. Which statement by the client indicates appropriate understanding of the teaching session?
1. "A normal blood pressure always depends on my previous blood pressure values." 2. "A normal blood pressure is below 140/90." 3. "If I was diagnosed with prehypertension my blood pressure would be 138/89." 4. "A diagnosis of prehypertension does not increase my risk of developing hypertension."
The nurse describes hypnobirthing to a pregnant woman and her partner. Which of the following would the nurse include in the description?
A) Mind-focusing practices that include breath awareness and mindfulness B) Provision of support to the mother before, during, and after childbirth C) Teaching health promotion and illness prevention to expectant women D) Relaxation techniques to help decrease pain and emotional stress
When working with overweight clients with diabetes the nurses should suggest the following strategies for weight loss:
1. Low-carbohydrate diet, increased exercise, and surgery. 2. Increased exercise, reduction of daily calories, and ways to avoid behaviors that have been barriers in the past for weight loss. 3. Low-protein diet, coping strategies to avoid overeating, and exercise. 4. High-fiber diet, surgery, and exercise.
Mrs. Jacobs has weakness on her left side. She is also learning to dress herself after her stroke. The nursing assistant can help Mrs. Jacobs best by remembering
A. To dress her left arm first and undress it last. B. To have her look in a mirror after she is dressed, so she can see how she looks. C. That Mrs. Jacobs will be more comfortable dressed in a gown and robe than in street clothes. D. That Mrs. Jacobs must learn to dress herself without using any assistive devices.