When reviewing the medical records of several clients, the nurse understands that the use of anticoagulants is contraindicated in clients with which of the following medical conditions? Select all that apply
A) Leukemia
B) Hypotension
C) Atrial fibrillation
D) GI ulcers
E) Tuberculosis
Ans: A, D, E
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Anticoagulants are contraindicated in clients with known sensitivity to the drug, active bleeding, hemorrhagic disease, tuberculosis, leukemia, uncontrolled hypertension, GI ulcers, recent eye or CNS surgery, aneurysms, and severe renal and hepatic disease and during pregnancy and lactation.
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The new graduate would like to work on an obstetrics unit in the local hospital. After applying for several jobs, the long-term care facility offers the graduate a position caring for older residents. What is the nurse's best action?
1. Thank the facility for the job offer but explain that caring for older adults is not the job desired. 2. Take the job caring for older adults temporarily until a better job in the desired field is offered. 3. Refuse the job by explaining that another job has been offered to avoid hurting feelings. 4. Accept the job and work there for one or two years to gain experience before applying for a different job.
A daughter is talking with the urologist who is caring for the woman's 78-year-old mother. The mother has multiple sclerosis and has lost control of her bladder. The daughter asks the urologist what made her mother become incontinent
What would be the urologist's best answer? A) "I don't know, but there are lots of medicines we can try to fix it." B) "After control of the bladder is learned, you must have a functioning nervous system to maintain it." C) "Your mother's age has a lot to do with it." D) "This happens sometimes and no one is quite sure why."
The nurse is instructing a community education class on stress. The nurse asks the participants, "Is all stress bad for you?" Which answer, by the participants, is most accurate?
A) "Yes, all stress has negative effects on the body systems." B) "Yes, all stress is bad but in varying degrees depending on the nature." C) "No, not all stress is bad, but all stress can make a person sick." D) "No, the right amount of stress can be motivating to accomplish goals."
The nurse is admitting a client to the labor and delivery unit who states she is at 39 weeks and began having steady contractions approximately 6 hours ago. Which assessment findings discovered during the nurse's vaginal examination would indicate that this client will deliver within the next few hours? Select all that apply.
A. The client's cervix is dilated 7 centimeters. B. The client's cervix is effaced 20%. C. The presenting part of the fetus is at -4 station. D. The client's membranes appear to have ruptured. E. There is the presence of a bloody show on the nurse's gloved hand.