In addition to ongoing assessment, describe specific nursing interventions to place in T.A.'s
plan of care that are part of patient safety initiatives aimed at minimizing his risk of
developing a deep vein thrombosis (DVT).
What will be an ideal response?
• Administer anticoagulant medications to prevent thrombus formation. If he is on anticoagulant
therapy, monitor coagulation studies to determine if values are within therapeutic limits.
• Encourage ambulation as ordered. Otherwise turn and reposition every 2 hours.
• Apply either graduated compression stockings or intermittent pneumatic compression devices.
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A mother says to a nurse, "I am so concerned about my 14-year-old daughter, since she has been caught stealing small articles of clothing and jewelry from stores on several occasions
" The nurse begins a discussion on strategies for improving ethical behavior. This plan of care is part of: 1. Health maintenance. 2. Health promotion. 3. Behavioral discipline. 4. Moral conditioning.
A patient with newly diagnosed hypertension tells the nurse he uses a lot of salt on his foods and has not been able to lose the 30 pounds that he has gained in the last 10 years
He does not understand why he has hypertension, since he is not an anxious person. Which nursing diagnosis does the nurse identify for this patient? a. Ineffective health maintenance related to the lack of knowledge of disease process and management b. Risk of noncompliance related to lifestyle patterns c. Disturbed body image related to diagnosis of hypertension d. Anxiety related to complexity of management regimen and lifestyle changes associated with hypertension
The nurse is assessing a homeless patient who is diagnosed with anemia. Which is the most likely reason for this diagnosis?
1) Poor nutrition 2) Genetic predisposition 3) Homeless shelter residence 4) History of tuberculosis
A nurse overhears a staff member say, "All of these drug abusers on our unit are just bums." How should the nurse characterize this statement?
A) Rational belief B) Irrational belief C) Blind belief D) Stereotype