A 28-year-old man with von Willebrand disease is admitted to the hospital for minor knee surgery. The nurse will review the coagulation survey to check the
a. platelet count.
b. bleeding time.
c. thrombin time.
d. prothrombin time.
ANS: B
The bleeding time is affected by von Willebrand disease. Platelet count, prothrombin time, and thrombin time are normal in von Willebrand disease.
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After an institutional project has been developed, the next step is to conduct a pilot study (a trial study). Based on the Iowa Model, which step would identify the success or failure of a pilot study?
A) Developing an evaluation plan B) Measuring client outcomes prior to implementation C) Training relevant staff in the use of the new guideline D) Evaluating the project in terms of both the process and the outcomes
In a junctional rhythm viewed in lead II, where is the location of the P wave on the ECG if atrial depolarization precedes ventricular depolarization?
a. Before the QRS complex b. During the QRS complex c. After the QRS complex
The nurse is working hard to prevent medication errors. Which intervention would assist the nurse in preventing most errors using the assessment step of the nursing process?
1. Be aware of stressful situations and distractions during medication administration. 2. Assess the client for expected outcomes and determine if any adverse side effects have occurred. 3. Ask the client about food or medication allergies, including OTC medications and herbal supplements. 4. Avoid using abbreviations that could be misunderstood.
A client with an artificial eye identifies that the prosthesis is uncomfortable. The nurse should remove the prosthesis and:
A. Check the prosthesis for rough edges B. Rinse the prosthesis with alcohol C. Irrigate the eye socket with saline D. Leave the prosthesis out of the eye for at least 24 hours