A 78-year-old female patient was recently diagnosed with atrial fibrillation and started on Coumadin (warfarin) for stroke prophylaxis. A nurse provides extensive education on warfarin including the need for routine blood testing
The woman states the following to a nurse: "I understand all that you have taught me, but I do not know what a good number for the INR test is." The nurse bases her response on the knowledge that the recommended INR is:
a. 1.0-2.0.
b. 2.0-3.0.
c. 3.0-4.0.
d. 4.0-5.0.
ANS: B
Recommended INR for an individual with atrial fibrillation for stroke prevention in individuals over age 75 is 2.0-3.0.
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The mother of a 4-month-old infant, born prematurely, asks the nurse if her daughter will always be small for her age. What is the most appropriate nursing response?
a. "Preterm infants usually remain smaller than term infants throughout childhood." b. "Your daughter will be the same size as other children by the time she is 1 year old." c. "Prematurity is associated with short stature but does not affect weight gain." d. "It takes about two years for the preterm infant to catch up to a full-term infant."
Poor nutrition and subsequent skin breakdown is associated with which of the following lab results?
a. Serum albumin of 3.0 b. Serum transferrin of 250 c. Cholesterol of 200 d. none of the above
Which of the following tasks can a nurse delegate to a Nursing Assistive Personnel (NAP)? Select all that apply
a. Taking vital signs b. Collecting a urine specimen c. Suctioning a client's trach tube d. Feeding a 2-month-old infant e. Performing a catheterization f. Giving a bed bath to an elderly client whose condition is stable
Which example best demonstrates the convergence of Kingdon's "streams"?
A) A local school board president calls for the reinstatement of school nurses in the county after everyone in her child's class contracts head lice with parents unanimously demanding action. B) A senator introduces a bill on the basis of pressure from a constituent interest group that he knows is unlikely to pass. C) Despite public outcry, a school principal refuses to change her ruling to dismiss a student from school for reading aloud from the Bible in class. D) The local mayor decides to give all city officials an extra paid day off in recognition of budget surpluses recorded the prior year.