A patient in the clinic develops sudden shortness of breath and tachycardia. The primary care NP notes thready pulses, poor peripheral perfusion, and a decreased level of consciousness
The NP activates the emergency medical system and should anticipate that this patient will receive: a. intravenous alteplase.
b. low-dose aspirin and warfarin.
c. low-molecular-weight heparin (LMWH).
d. unfractionated heparin (UFH) and warfarin.
D
This patient has unstable pulmonary embolism (PE) and should receive thrombolytic therapy. Intravenous alteplase is the preferred agent. UFH and warfarin are recommended for stable PE. LMWH is beneficial in submassive PE and deep vein thrombosis (DVT) but is controversial for treatment of massive PE.
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A nurse cares for a client with urinary incontinence. The client states, "I am so embarrassed. My bladder leaks like a young child's bladder." How should the nurse respond?
a. "I understand how you feel. I would be mortified." b. "Incontinence pads will minimize leaks in public." c. "I can teach you strategies to help control your incontinence." d. "More women experience incontinence than you might think."
When planning care for adolescents, the nurse should:
a. teach parents first, and they, in turn, will teach the teenager. b. provide information for their long-term health needs because teenagers respond best to long-range planning. c. maintain the parents' role by providing ex-planations for treatment and procedures to the parents only. d. give information privately to adolescents about how they can manage the specific problems that they identify.
A patient in heart failure is to be started on an infusion of dobutamine (Dobutrex). What is most important for the nurse to assess before starting the infusion? The patient's:
1. Breath sounds 2. Blood pressure 3. Level of consciousness 4. Urine output
The staff of a medical unit has agreed to pilot test a new, evidence-based educational initiative that addresses the learning needs of adults who have been recently diagnosed with type 2 diabetes
A pilot test is likely to accomplish which of the following? A) Determine whether the existing research on diabetes education is valid and reliable. B) Reduce the incidence of type 2 diabetes among local adults. C) Gauge whether nurses are qualified to perform patient and family teaching related to diabetes. D) Indicate whether the initiative is feasible to implement and applicable to the population.