A patient prescribed subcutaneous heparin tells the nurse that her menstrual bleeding is heavier than usual. What is the nurse's best response?
a. "I will hold the drug and notify your prescriber."
b. "This is a fairly common and expected side effect of the drug."
c. "Heavy bleeding is a concern because you might become anemic."
d. "I will have to give you a shot of protamine sulfate to reverse the drug's action."
B
Common side effects of anticoagulant therapy include increased risk for bleeding. Bleeding from the gums, oozing from cuts or wounds, nosebleeds, and heavier than usual menstrual bleeding can occur.
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A patient with a probable leak from a cerebral aneurysm is scheduled for surgical repair. What is the priority of nursing care in the preoperative period?
A) Administration of prescribed stool softener medication B) Awaken every hour to assess neurologic status C) Encourage ambulation and exercise to tolerance D) Keep on high-fiber and low-calorie diet
Which statement by a woman with Addison disease would indicate a disturbance in body image?
a. "Will I look like a zebra for the rest of my life?" b. "I have found makeup to cover my rash." c. "With this red face, I sure can't wear pink anymore." d. "At last! I look like I have a suntan."
A major difference between starvation and stress is that metabolic rate _____ during starvation and _____ during stress
a. increases; decreases b. decreases; increases c. is unaffected; increases d. decreases; is unaffected
An appropriate technique for a nurse to implement during the assessment of the abdomen is:
A. Assessing painful areas first B. Auscultating for 5 minutes over each quadrant C. Positioning the client in a supine position with the arms behind or over the head D. Palpating masses or organ enlargement deeply and firmly