The nurse is working with a client receiving an intravenous heparin sodium drip. The nurse should review which of the following laboratory studies to determine the therapeutic effect of heparin for the client?
1. Bleeding time
2. Thrombin time
3. Prothrombin time (PT)
4. Partial thromboplastin time (PTT)
4
Rationale: The PTT will assess the therapeutic effect of heparin, and the PT is one test that will assess for the therapeutic effect of warfarin (Coumadin). Thrombin time and bleeding time are hematological studies that may be prescribed for clients with coagulopathy or other disorders.
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A nurse is teaching a class about emergency preparedness and violence. Which of the following factors is associated with an increased risk of being the victim of violence or intentional harm? Select all that apply
A. Age between 15 and 44 B. Poor mental health C. Substance abuse D. Male gender E. Low socioeconomic status
A patient is receiving methenamine (Mandelamine) for the treatment of a chronic UTI. Which agent, when given concurrently with methenamine, can create a risk for crystalluria?
a. Ciprofloxacin (Cipro) b. Sulfisoxazole c. Nalidixic acid (NegGram) d. Erythromycin (ERYC)
The nurse and the UAP are working on a surgical unit. Which task can the nurse delegate to the UAP?
1. Take routine V/S on clients 2. Check the Jackson Pratt insertion site 3. Hang the client's next IV bag 4. Ensure the client obtains pain relief
While working with patients who are experiencing a significant degree of stress, the nurse is aware that a priority assessment area is:
A) the patient's primary activities of daily living needs B) what else is happening in the patient's life C) how the stress has influenced the patient's activities of daily living D) whether the patient is thinking about harming himself, herself, or others