A 50-year-old man has undergone a bunionectomy and has been admitted to the postsurgical unit. What aspect of the man's medical history would contraindicate the use of heparin for DVT prophylaxis?
A) The man is morbidly obese.
B) The man has a diagnosis of ulcerative colitis.
C) The man had a myocardial infarction 18 months ago.
D) The man has a diagnosis of type 2 diabetes mellitus.
B
Feedback:
GI ulcerations contraindicate the use of heparin. Obesity, diabetes, and previous MI do not rule out the safe use of heparin.
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The nurse cares for critically ill patients in a busy trauma unit. The nurse manager has instituted a program to incorporate principles of palliative care into the care of all patients in the unit. What is the best reason for this inclusion?
A) Most of the patients in critical care will die, so palliative care will be necessary. B) Primary palliative care focuses on relief of suffering and improvement of quality of life. C) This action has been mandated by the nurse manager and must be implemented. D) Palliation is another way of managing pain control in critical care.
Using silence is a nonverbal communication technique. Silence allows which of the following to occur in the conversation?
A) The unwillingness to continue listening B) The nurse to stop the conversation C) The ability of the client to ignore the nurse D) The regain of control in the conversation
The relationship of the fetal body parts to one another is called fetal:
1. lie. 2. presentation. 3. attitude. 4. position.
The patient says to the nurse, "My neighbor said my antidysrhythmic drug can actually cause me to have irregular heartbeats. How can this be?" What is the nurse's best answer?
1. "Your medication blocks the flow of the electrolytes in your heart, and this can cause irregular beats." 2. "It is better to discuss your medication concerns with a professional, not a lay person like your neighbor." 3. "You must take two baby aspirins every other day to avoid the irregular heartbeats." 4. "Your medication is not the problem; it is when you mix it with over-the-counter (OTC) drugs that you develop irregular beats."