A patient, vomiting bright red blood, is scheduled for an endoscopy procedure. The patient asks the nurse what the procedure will do. Which of the following should the nurse respond to the patient?
1. The area of bleeding can be seen so surgery can be planned to remove it.
2. A cold material can be applied to the bleeding area to stop the bleeding.
3. A chemical can be injected into the bleeding vessel to stop it from bleeding.
4. A laser can be used on the bleeding areas to stop any possibilities of bleeding again.
3
Rationale: During the endoscopy, a chemical or a sclerosing agent can be injected into the bleeding vessel to stop the bleeding. This is what the nurse should respond with to the patient. Areas of bleeding can be treated during the endoscopy and should not require additional surgery. Heat is applied during an endoscopy to coagulate the bleeding area. Regardless of the treatment, re-bleeding after an endoscopy procedure is approximately 45 to 50%. The nurse should not tell the patient that the treatment will stop any possibilities of bleeding again.
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Once anticoagulation therapy has ended, the nurse would teach the patient to:
1. go back to using a razor for shaving as before therapy. 2. use caution for a while after therapy has ended. 3. remove the MedicAlert bracelet at the end of therapy. 4. resume alcohol consumption after therapy has ended.
If a test standard is valid and the criteria for discriminating a positive from a negative test remain constant, what else will remain constant?
1. Sensitivity 2. Specificity 3. Reliability 4. Accuracy
Each nurse on your unit receives a benefits package that includes a 2-week vacation, 1 sick day each month, 6 holidays, and 2 days to attend an educational conference. How many nonproductive hours would each nurse on your unit represent?
a. 60 hours c. 240 hours b. 120 hours d. 360 hours
The nurse is providing care to an assigned client. Which action indicates that the nurse supports the client's respect for dignity?
1. Allowing the client to complete hygienic care when possible 2. Providing all care to the client whenever possible 3. Telling the other staff that the client is demanding, so they are able to meet the client's needs 4. Presenting information to the client's family about the client's condition