The nurse is caring for a laboring patient with thrombocytopenia. During labor, it is determined that the patient requires a cesarean delivery
The nurse is preparing the patient for surgery, and should instruct the patient that the recommended method of anesthesia is: 1. General anesthesia.
2. Epidural anesthesia.
3. Spinal anesthesia.
4. Regional anesthesia.
1
Rationale 1: General anesthesia will be recommended. A patient with thrombocytopenia is at risk for increased bleeding, and therefore all regional anesthetics (including spinal and epidural anesthesia) are contraindicated.
Rationale 2: A patient with thrombocytopenia is at risk for increased bleeding, and therefore all regional anesthetics (including epidural anesthesia) are contraindicated.
Rationale 3: A patient with thrombocytopenia is at risk for increased bleeding, and therefore all regional anesthetics (including spinal anesthesia) are contraindicated.
Rationale 4: A patient with thrombocytopenia is at risk for increased bleeding, and therefore all regional anesthetics (including spinal and epidural anesthesia) are contraindicated.
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The best nursing strategy for encouraging ostomy patient self-care would be to:
1. plan to change the pouch when family members will be present, have the patient watch, and listen to the procedure. 2. frequently tell the patient that if he or she does not learn stoma self-care, no one is going to do it for them. 3. encourage the patient to watch the stoma care procedure, gradually encouraging participation. 4. shield the patient from sight of the stoma until the patient actually asks to see it.
A toddler has been started on Lanoxin (digoxin) for cardiac failure. For which of the following should the nurse be alert?
1. Lowered blood pressure 2. Tinnitus 3. Ataxia 4. Nausea and vomiting
To calculate a drug dosage, you must know the weight of the drug present in each:
A. liter. B. dekaliter. C. deciliter. D. milliliter.
Helen, a 47-year-old client with a long history of severe depression, has not responded to antidepressant medications or psychotherapy
The nurse caring for the patient knows that the treatment of choice for depression unresponsive to conventional treatment would be: A. Lithium. B. Electroconvulsive therapy (ECT). C. Light therapy. D. Neurolinguistic programming.