When assessing a newborn for coagulation factors, the perinatal nurse recalls that coagulation factors to enable the newborn to effectively clot blood after childbirth are activated by __________
Fill in the blank with the appropriate word.
ANS: vitamin K
Due to the absence of vitamin K at birth, the neonate is at risk for developing a blood clotting deficiency during the first few days of life. The infant is given an intramuscular injection of vitamin K, phytonadione (AquaMEPHYTON), during the initial care and assessment to prevent hemorrhagic disease of the newborn.
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The nurse hears the client on the psychiatric inpatient unit tell another client, "They'll all be sorry when I'm gone." The nurse's priority action is to:
1. Ask the client, "Are you thinking about killing or hurting yourself?" 2. Leave a note for the physician giving the details of her suspicions. 3. Call the client's family or significant other and ask them to visit and report conversations. 4. Ask the client what was meant by the overheard comment.
A patient has received large doses of a sympathomimetic drug, reducing saliva production. What effect will this situation have on digestion?
A) Swallowing will be more difficult B) Fat digestion will be impaired C) Microbial overgrowth may occur D) Mouth pH may decrease
To maintain integrity of reporting data for Magnet Recognition or other benchmarking, what would be the appropriate action if a nurse was unable to collect all needed data?
a. Ask an expert to estimate data b. Guess the data results c. Report the data as missing d. Use data collected at a later time
A patient is given a prescription for oxycodone/acetaminophen (Vicodin), two tablets to be taken every 4 to 6 hours as needed for pain. Which of the following statements should be included in the teaching?
a. "It is important to not to take this more often than prescribed because acetaminophen can cause dangerous side effects if taken more frequently." b. "You shouldn't take this more than every 4 hours because oxycodone will cause respiratory depression." c. "Oxycodone and acetaminophen interact to form a dangerous metabolite if they are taken less than 4 hours apart." d. "Be careful not to take this more than every 4 hours because Vicodin always relieves pain for at least 4 hours."