The nurse is caring for a pediatric patient with hemophilia who receives antihemophilic factor several times a year. What should this patient be regularly screened for? (Select all that apply.)
A) HIV
B) Hepatitis
C) Anemia
D) Infection
E) Cardiomyopathy
A, B, C
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The most common adverse effects associated with antihemophilic agents involve risks associated with the use of blood products (e.g., in a patient with hepatitis or AIDS). Patients with hemophilia should also be monitored for anemia secondary to blood loss. There is no associated risk for infection or cardiomyopathy.
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A nurse is caring for a woman who just experienced a cesarean birth under epidural anesthesia. What interventions are important to include on this woman's care plan? (Select all that apply.)
A. Apply compression stockings or sequential compression devices. B. Encourage ankle exercises while the woman remains in bed. C. Keep the woman NPO until she is allowed out of bed into a chair. D. Maintain bedrest until sensation returns to the woman's legs. E. Only allow the woman to hold her infant with supervision while in bed.
A nurse is preparing a patient for scheduled transesophageal echocardiography. What action should the nurse perform?
A) Instruct the patient to drink 1 liter of water before the test. B) Administer IV benzodiazepines and opioids. C) Inform the patient that she will remain on bed rest following the procedure. D) Inform the patient that an access line will be initiated in her femoral artery.
When assessing patients who are victims of a chemical agent attack, the nurse is aware that assessment findings vary based on the type of chemical agent. The chemical sulfur mustard is an example of what type of chemical warfare agent?
A) Nerve agent B) Blood agent C) Pulmonary agent D) Vesicant
A 46-year-old patient, unemployed and diagnosed with kidney disease, tells the nurse that he is having difficulty with his medical bills. Which of the following should the nurse do to help this patient?
1. Ask social services to discuss Medicare as a health care coverage option. 2. Assure the patient that the nurse will ask the health care provider if the patient can be quickly discharged to home. 3. Work with the pharmacist to determine which medications the patient can discontinue and still maintain an acceptable level of health. 4. Suggest the patient take prescribed medications every other day to have the prescription last longer.