Pulmonary embolism, a serious complication of HIT, is manifested by which of the following clinical signs?
a. Blanching of fingers and toes and loss of peripheral pulses
b. Chest pain, pallor, and confusion
c. Headache, impaired speech, and loss of motor function
d. Dyspnea, pleuritic pain, and rales
D
The presence of blanching and the loss of peripheral pulses, sensation, or motor function in a limb indicate peripheral vascular thrombi. Neurologic signs and symptoms such as confusion, headache, and impaired speech can signal the onset of cerebral artery occlusion and stroke. Acute myocardial infarction may be heralded by dyspnea, chest pain, pallor, and alterations in blood pressure. Thrombi in the pulmonary vasculature may be evidenced by pleuritic pain, rales, and dyspnea.
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The nurse is teaching a client and his family about administering pentamidine at home. Which statement by the client indicates a need for additional teaching?
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A 73-year-old patient has just undergone a colostomy for cancer of the colon. The patient tells the nurse the pain is "8" on a scale of 1 to 10 . Which of the following is the expected outcome of the nursing care for this patient?
a. The patient states the pain is "4" on a scale of 0 to 10. b. The patient verbalizes satisfaction with the level of pain and pain control. c. The patient does not ask for pain medication. d. The patient self-medicates with an over-the-counter medication.
Laboratory testing is ordered for a 61-year-old patient suspected of having chronic prostatitis. The nurse anticipates preparing the patient for which procedure?
1. CT scan 2. IVP 3. Serum sodium level 4. Urinalysis
A school age child tells the school nurse, "Other kids call me mean names and will not sit with me at lunch. Nobody likes me." Select the nurse's most therapeutic response
a. "Just ignore them and they will leave you alone." b. "You should make friends with other children." c. "Call them names if they do that to you." d. "Tell me more about how you feel."