The nurse is managing care for a patient with cirrhosis of the liver. The nurse teaches the patient about how to avoid injury that may result in bleeding. The patient asks the nurse why he is at risk to start bleeding
What is the best response by the nurse?
1. "Because your liver is injured and unable to manufacture platelets."
2. "Because your liver thickens your blood so it is less likely to clot."
3. "Because your liver is injured and cannot make clotting factors."
4. "Because your liver is breaking down your clotting factors too quickly."
Correct Answer: 3
Rationale: The liver is responsible for the production of essential clotting factors necessary to prevent bleeding. The liver is not responsible for breaking down clotting factors. The liver is not responsible for making the blood thick. The liver is not responsible for manufacturing platelets.
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The nurse delegates bathing the client with hemiparesis to the unlicensed assistive personnel (UAP) and provides specific direction to:
1. Avoid moving the extremities on the affected side. 2. Encourage the client to bathe the affected side. 3. Teach the client how to provide self-care after discharge. 4. Avoid bathing the unaffected side.
A nurse is monitoring a child after an interventional catheterization for PDA. Before the procedure, blood pressure was 98/42 mm Hg. After the procedure, blood pressure was 98/74 mm Hg. One hour later, the blood pressure is 96/34 mm Hg
What action by the nurse is best? A. Administer epinephrine (Adrenalin). B. Contact the provider. C. Document the findings. D. Give a rapid fluid bolus.
What is it called when the participants are not revealed to anyone but the researcher?
a. Discretion. b. Confidentiality. c. Ethics. d. Anonymity.
Two nurses are discussing health care quality. They agree which event contributes to increased health care quality?
a. Magnet status hospitals b. Fewer adverse events c. Collaboration of multiple health care agencies d. Increased patient education