A surgeon prescribes heparin 2,500 mEq IM q 12 hr. What is the nurse's best action?

a. Administer the medication as prescribed.
b. Clarify the medication dose with the surgeon.
c. Administer the medication subcutaneously.
d. Clarify the dose and route with the surgeon.


ANS: D

Nursing

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An 81-year-old female patient in a subacute medical unit of a hospital has developed an oral Candida albicans infection. Which of the following phenomena would the patient's nurse suspect as a key contributing factor to her infection?

A) The moist and temperature-suited oral environment of the client's mouth B) The ability of fungi to remain latent until the host reaches an immunocompromised state C) Antibiotic therapy that eliminated normal bacterial flora D) The airborne communicability of yeast and molds and subsequent inhalation

Nursing

A 60-year-old woman who is 11 years menopausal has presented to the emergency department stating, "I haven't had my period in years, but lately I've been bleeding again, and quite heavily in the last few days." The care team needs to rule out endometrial cancer. How should they best explain the most accurate plan for confirming or ruling out the diagnosis?

A) "We're going to book a CT scan for you as soon as possible so that we can see what is inside your uterus." B) "We're going to have to open your cervix with a speculum and take scrapings from the wall of your uterus." C) "We are going to order blood work that will measure your hormone levels." D) "We can do a Pap smear right now, and we will get the results as soon as we can."

Nursing

A 2-year-child with a fever is prescribed amoxicillin clavulanate 250 mg/5 cc t.i.d. PO × 10 days for otitis media. To guard against antibiotic resistance, the nurse instructs the parent to:

1. Administer a loading dose for the first dose. 2. Measure the prescribed dose in a household teaspoon. 3. Give the antibiotic for the full 10 days. 4. Stop the antibiotic if the child is afebrile.

Nursing

The nurse is doing a training session with a group of peers on the genitourinary system. Which is a major function of the kidneys?

A) Produce white blood cells B) Remove carbon dioxide C) Circulate cerebrospinal fluid D) Regulate blood pressure

Nursing