The nurse reinforces teaching provided to a patient prescribed an anticoagulant for atrial fibrillation due to valvular disease. Which statement by the patient indicates that the teaching has been effective?
a. "I will have monthly blood tests done."
b. "I can take aspirin for my frequent headaches."
c. "I feel fine, so I do not need to wear a Medic-Alert bracelet anymore."
d. "I care for my teeth very well, brushing them with a hard brush and flossing daily."
ANS: A
Monthly blood tests are done to monitor the effects of the anticoagulant to maintain the therapeutic range and prevent complications such as bleeding. B. Aspirin should be avoided when taking anticoagulants. C. The patient should have medical information about anticoagulant therapy available at all times. D. The patient should use a soft-bristled brush when performing mouth care to prevent gum bleeding.
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A 14-year-old with cystic fibrosis suddenly becomes noncompliant with the medication regime. The intervention by the nurse that would most likely improve compliance would be to:
1. Give the child a computer-animated game that presents information on the management of cystic fibrosis. 2. Arrange for the physician to sit down and talk to the child about the risks related to noncompliance with medications. 3. Set up a meeting with some older teens with cystic fibrosis who have been managing their disease effectively. 4. Discuss with the child's parents the privileges that can be taken away, such as a cell phone, if compliance fails to improve.
A staff nurse came in to work the 7 PM to 7 AM shift. She had met her friends for "happy hour" before her shift. Her breath smells of alcohol. If this nurse is allowed to provide care to patients, she may be at risk for ____
a. Maleficence b. Melange c. Nonmaleficence d. Nonmelange
A 68-year-old woman has experienced multiple urinary tract infections over the past several months, and her care provider suspects a structural problem with her bladder or urethra
To directly visualize these structures, what diagnostic test may be ordered? A) Cystoscopy B) Ureteral brush biopsy C) Urinalysis D) Renal biopsy
Which technique is most appropriate for a nurse to implement during the assessment of the abdomen?
a. Assessing painful areas first b. Auscultating for 5 minutes over each quadrant c. Positioning the patient in a supine position with the arms behind or over the head d. Palpating painful masses or organ enlargement deeply and firmly