The nurse is caring for a client who is scheduled for a percutaneous liver biopsy. Which diagnostic test is obtained prior?
A) Complete blood count (CBC)
B) Prothrombin time (PT)
C) Blood chemistry
D) Erythrocyte sedimentation rate (ESR)
B
Feedback:
The client must have coagulation studies before the procedure such as a PT or PTT because a major complication after a liver biopsy is bleeding. Clients at risk for serious bleeding may receive precautionary vitamin K. A complete blood count and blood chemistry may be completed for baseline values. Typically, an ESR is not associated with the procedure.
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A hospital's budget is incremental. Which statement by the nurse manager reflects use of this type of budget? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Standard Text: Select all that apply. 1. "The finance department sent me the budget worksheet with last year's expenses." 2. "We have $1,000 left in our education account that we need to spend before the year is over. Who has an idea for a class to attend?" 3. "I have to justify all our activities as if we have never done them before." 4. "I like this type of budget preparation because it is fairly simple and straightforward." 5. "In order to create next year's budget, I am to start at 80 percent of what we budgeted last year."
After an influenza-like illness, the patient complains of chills and small petechiae in his mouth and his legs. A heart murmur is detectable. These are characteristic signs of:
a. congestive heart failure. b. heart block. c. aortic stenosis. d. infective endocarditis.
After drawing up heparin from a vial, the next thing the nurse should do before giving this medication to the patient is:
1. Check the syringe size and needle again. 2. Look at the color of the solution. 3. Let another nurse check the dosage. 4. Check the order one more time.
When given an intravenous medication, the patient says to the nurse, "I usually take pills. Why does this medication have to be given in the arm?" What is the nurse's best answer?
a. "The medication will cause fewer adverse effects when given intravenously." b. "The intravenous medication will have delayed absorption into the body's tissues." c. "The action of the medication will begin sooner when given intravenously." d. "There is a lower chance of allergic reactions when drugs are given intravenously."