Which nursing intervention should the nurse implement to help reduce the risk for abnormal bleeding during heparin therapy?
a. monitor for dysuria/diarrhea
b. auscultate breath sounds regularly
c. ensure that vitamin K is readily available
d. maintain heparin on a continuous infusion pump
Answer: d. maintain heparin on a continuous infusion pump
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The nurse is assessing a child with Down syndrome. Which of the following is this child at a greater risk to develop when compared with children who do not have Down syndrome?
1. Hepatitis 2. Thyroid disease 3. Glomerulonephritis 4. Rheumatic heart disease
A nurse is caring for a patient who has been diagnosed with leukemia. The nurse's most recent assessment reveals the presence of ecchymoseson the patient's sacral area and petechiae in her forearms
In addition to informing the patient's primary care provider, the nurse should perform what action? A) Initiate measures to prevent venous thromboembolism (VTE). B) Check the patient's most recent platelet level. C) Place the patient on protective isolation. D) Ambulate the patient to promote circulatory function.
Place the steps of providing foot care to a diabetic client in the appropriate order. Click on the down arrow for each response in the right column and select the correct choice from the list
Response 1. Provide for privacy by pulling curtain or closing door to room. Response 2. Fill washbasin with warm water and test temperature of water. Response 3. File fingernails straight across and even with tops of toes. Use nail clippers to clip nails straight across, then shape with nail file. Response 4. Assist client to sitting position. Help bedridden client to supine position with head of bed elevated. Place disposable bath mat on floor under client's feet, or place towel on mattress. Response 5. Perform hand hygiene. Arrange equipment on over-bed table. Response 6. Help client place feet in basin. Fill basin with warm water, and soak for 10 minutes.
Which patient is at the greatest risk for a CVA?
a. A 20-year-old obese Latin woman who is taking birth control pills b. A 40-year-old athletic white man with a family history of CVA c. A 60-year-old Asian woman who smokes occasionally d. A 65-year-old African American man with hypertension