A patient prescribed subcutaneous heparin tells you that her menstrual bleeding is heavier than usual. What is your best response?
a. "I will hold the drug and notify your prescriber."
b. "This is a fairly common and expected side effect of the drug."
c. "Heavy bleeding is a concern because you might become anemic."
d. "I will have to give you a shot of protamine sulfate to reverse the drug's action."
ANS: B
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During assessment of a client with a dissociative disorder, the nurse notices that the client has been cutting herself on both arms
After talking with the client, the nurse, along with other members of the treatment team, decides that the best intervention at this time to prevent further self-destructive behavior would be: a. Establishing a signed contract with the client to tell a team member when she is having self-destructive thoughts b. Isolating the client from all other clients and activities until she is no longer having self-destructive thoughts c. Administering medications that will reduce the client's anxiety levels d. Involving the client in activities as a diversion from self-destructive thoughts
When providing topical treatment of lesions for a client with intertrigo, the nurse would avoid the use of
a. Burrow's solution. b. cornstarch. c. talc-containing powder. d. topical steroids.
Which of the following statements indicates that the client has a correct understanding about recovery from Guillain-Barré syndrome?
A. "I need to see a lawyer because I do not expect to recover from this disease." B. "I will have to take things slowly for several months after I leave the hospital." C. "I expect to be able to return to work in construction soon after I get discharged." D. "I wonder if my family will be able to manage my care now that I am paralyzed."
The mother of a teenaged female with a severe case of acne expresses concern about her daughter's hygiene habits. Which response by the nurse is most helpful?
1. "Improving facial hygiene is the best way to treat your daughter's acne.". 2. "The most important causative factor for acne is poor diet, not inadequate hygiene.". 3. "Do you think your daughter is embarrassed by her appearance?" 4. "What are your concerns about her hygiene practices?"