The nurse is caring for four patients with different diagnoses. Which patient should the nurse shave with an electric razor?

a. The hypertensive patient
b. The patient with diabetes mellitus
c. The patient with a closed head injury
d. The patient with a pulmonary embolus


D
A patient with a pulmonary embolus receives anticoagulant therapy to prevent the formation of additional emboli and allow the clot to dissolve. The nurse avoids shaving patients receiving an-ticoagulants with a razor to prevent prolonged bleeding of potential facial cuts from the razor. Hypertension, diabetes mellitus, and a closed head injury are unlikely to require precautions for prolonged bleeding caused by anticoagulation. Anticoagulation is usually not indicated for hypertension and is contraindicated for a closed head injury. If the patient's brain bleeds, intra-cranial pressure increases and potentially results in a devastating, life-threatening injury.

Nursing

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After what period of time would the home health nurse make a mental health appointment for a patient with an HIV infection after assessing a diminished ability to attend to daily functioning?

a. 1 week b. 2 weeks c. 3 weeks d. 1 month

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A patient explains that her mother took diethylstilbestrol (DES) during her pregnancy. The nurse knows that this increases the patient's risk of which disease process?

1) Uterine prolapse 2) Cervical/vaginal cancer 3) Endometriosis 4) Amenorrhea

Nursing

A nursing student has learned about the importance of nonverbal communication and has witnessed several examples of this in the clinical setting. Which event most clearly demonstrates nonverbal communication?

A) A client is bent over in a chair, holding his/her side and grimacing. B) A client rings his/her call light and asks for an antiemetic (antinausea medication). C) A client falls while trying to transfer from his/her bed to a commode. D) A client accuses the student of prioritizing other clients over him/her.

Nursing

Which of the following statements regarding prostatic-specific antigen (PSA) is INCORRECT?

A. It is produced by prostatic epithelial cells. B. Small amounts of PSA can be detected in the bloodstream of adult males. C. Higher than normal levels of PSA occur in the blood of men with carcinoma of the prostate. D. A higher than normal level of PSA in the blood is diagnostic of carcinoma of the prostate, as elevated PSA does not occur in men with benign prostatic hyperplasia or other benign diseases of the prostate.

Nursing