The client who has had a prosthetic valve replacement asks his nurse why he must take anticoagulants for the rest of his life. What is the nurse's best response?
A. "You are now at greater risk for a heart attack, and the anticoagulants can reduce that risk."
B. "Blood clots form more easily on replacement valves and areas inside the heart where stitches have been placed."
C. "The vein taken from your leg reduces circulation in the leg, making blood return to the heart much slower."
D. "The surgery left a lot of small clots in your heart and lungs; the anticoagulants will slowly dissolve these unnecessary clots."
B
Synthetic valve prostheses and scar tissue provide a surface on which platelets can aggregate easily and initiate the formation of blood clots.
You might also like to view...
A patient with myasthenia gravis is administered neostigmine (Prostigmin). How does this drug produce its therapeutic effect?
A) It stimulates the sympathetic nervous system. B) It stimulates the parasympathetic nervous system. C) It stimulates the cardiac smooth muscle. D) It stimulates the respiratory system.
The nurse is evaluating the plan of care and notes that none of the goals have been met for the client with impaired gas exchange. What should the nurse do next in this situation?
1. Report the lack of achievement of the goals to the healthcare provider. 2. Review the data and modify the plan. 3. Reformulate the nursing diagnosis to a more realistic one. 4. Request a consult for the client to be seen by a pulmonologist.
Which of the following statements about the steps of the EBP process is most accurate?
A) One of the last steps of the EPB process is to search for and collect the most relevant best evidence. B) One of the earliest steps in the EBP process is to disseminate the outcomes of the EBP decision or change. C) It is optional to integrate the best evidence with one's clinical expertise and patient preferences and values in making a practice decision or change. D) The first step in the EBP process is to cultivate a spirit of inquiry.
Maggie is 7 months pregnant with her first child. She is 37 years old and waited to start a family until she felt established in her career
She is visiting the health care provider for her scheduled prenatal check up and tells the nurse that she is short of breath and fatigued. What is the best re-sponse from the nurse? A. "You should have let us know immediately instead of waiting until your ap-pointment." B. "I'll make a note of it on your chart." C. "That is normal; your uterus is pushing on your diaphragm, making it more diffi-cult to breathe." D. "The health care provider should have warned you about this on your last visit."