A nurse is caring for an industrial accident victim who has suffered blood loss from a
nicked blood vessel. The nurse notes that there are no signs of swelling seen at the site
of injury. Which factor may lead to inability of the blood to clot?
A) Low levels of globulin synthesized by the body
B) Decrease in the release of chemical mediators
C) Release of immature neutrophils by bone marrow
D) Deficiency in any of the major coagulant substances
D
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The home health nurse warns the patient who is taking warfarin (Coumadin) for anticoagulant therapy for thrombophlebitis to stop taking the herbal remedy of ginkgo because ginkgo can:
a. cause severe episodes of diarrhea. b. cause a severe skin eruption if taken with Coumadin. c. increase the action of the Coumadin. d. cause the Coumadin to be less effective.
A patient diagnosed with probable Alzheimer's
disease is having his swallowing ability tested. His wife asks you why this is necessary. What is your best response? a. "This is a routine assessment that is completed for every patient." b. "The prescriber ordered this test to be done to prevent side effects of a new drug for your husband's disease." c. "This test tells us where your husband's swallowing is now, because it may get worse as his disease progresses." d. "We are concerned about whether we will need to place a feeding tube to give his medications."
Which of the following statements accurately represents a characteristic of the third or fourth heart sound?
A) S3 is considered normal in children and young adults and abnormal in middle-aged and older adults. B) S3 is best heard with the stethoscope bell at the mitral area, with the patient lying on the right side. C) S4 is the fourth heart sound, represented by "lub-dub-dee." D) S4 is considered normal in children and adults, but abnormal in older adults.
When attempting to change nursing's image with the media, which approach would be most appropriate?
A) Wait for the media service to contact the nurse for information B) Write letters to the professional organization C) Actively initiate contact with individuals in the media D) Contact the institution's public relations department