The nurse is administering thrombolytic therapy to a client who had a myocardial infarction. Which intervention does the nurse implement to reduce the risk of complications in this client?
a. Administer prescribed heparin.
b. Apply ice to the injection site.
c. Place the client in Trendelenburg position.
d. Instruct the client to take slow deep breaths.
A
Following clot lysis, large amounts of thrombin are released, increasing the risk of vessel reoc-clusion. To maintain vessel patency, IV or low-molecular-weight heparin and aspirin are pre-scribed. The other interventions are not appropriate for this client.
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A client is going to be admitted for a scheduled surgical procedure. Which action does the nurse explain is the most important thing the client can do to protect against errors?
a. Bring a list of all medications and what they are for. b. Keep the doctor's phone number by the telephone. c. Make sure all providers wash hands before entering the room. d. Write down the name of each caregiver who comes in the room.
A nurse is caring for a client with chronic back pain. The client attributes the pain to her teaching job, which involves long hours of standing in the classroom coupled with movements to assist her young students
Which of the following positions can contribute to a good standing posture and relieve the pain? A) Keep the knees locked whenever possible B) Maintain the left hip slightly higher than the right C) Hold the chest slightly backward. D) Distribute weight equally on both feet.
The nurse leader of a cognitive therapy group for persons with dysphasia would use the technique of
A. negative reinforcement. B. conflict suppression. C. clarification. D. flooding to desensitize a client to anxiety.
An elderly patient with dementia exhibits hostility and uncooperativeness. The primary care NP prescribes clozapine (Clozaril) and should counsel the family about:
a. a decreased risk of extrapyramidal symptoms. b. improved cognitive function. c. the need for long-term use of the medication. d. a possible increased risk of heart disease and stroke.