A nurse cares for a patient on warfarin therapy for atrial fibrillation. Which laboratory value is the goal of this form of anticoagulation?
1. An aPTT of three times normal
2. A PT of 4 seconds
3. An INR of 2-3
4. A PT of 20 seconds
Correct Answer: 3
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A client is scheduled to have a hip replacement. Preoperatively, the client is found to be mildly anemic and the surgeon states the client may need a blood transfusion during or after the surgery. What action by the preoperative nurse is most important?
a. Administer preoperative medications as prescribed. b. Ensure that a consent for transfusion is on the chart. c. Explain to the client how anemia affects healing. d. Teach the client about foods high in protein and iron.
A Community Health nurse is providing an educational event at the local high school. The topic the nurse is speaking about is varicose veins. What would the nurse suggest as a proactive preventative measure for varicose veins?
A) Sitting with crossed legs to promote relaxation. B) Walking for several minutes every hour to promote circulation. C) Elevating the legs when tired. D) Wearing tight ankle socks to decrease edema
A teenaged girl is discussing her recent breakup with her boyfriend. She tells the nurse she just stays in bed all day and cannot seem to feel any better. She says she is only relieved of the pain while sleeping
The nurse identifies this coping strategy as: A) avoidance coping B) buffering C) chronic stress D) adaptation
Shearing is
A. scrubbing the skin with an abrasive cloth, substance, or chemical. B. sliding a patient from the bed to the chair with adaptive equipment. C. dragging the heels across the bed surface when moving with a lifting sheet. D. stretching the skin in one direction while the bone moves in the opposite direction.