A patient with pancytopenia of unknown origin is scheduled for the following diagnostic tests. The nurse will provide a consent form to sign for which test?
a. ABO blood typing
b. Bone marrow biopsy
c. Abdominal ultrasound
d. Complete blood count (CBC)
ANS: B
A bone marrow biopsy is a minor surgical procedure that requires the patient or guardian to sign a surgical consent form. The other procedures do not require a signed consent by the patient or guardian.
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A nurse administering oxytocin (Pitocin) to a client should monitor the client for which of the following? Select all that apply
A) Water intoxication B) Diarrhea C) Uterine rupture D) Headache E) Cardiac arrhythmias
A client following a vegetarian diet asks a nurse what he can do to get more protein with a meal that consists of a corn tortilla and refried beans. The nurse should suggest complementary protein such as:
A) lettuce and tomato salad. B) cooked spinach. C) cheese. D) raisin and oatmeal granola bar.
An 84-year-old client with oxygen-dependent chronic obstructive pulmonary disease is admitted with an exacerbation and steady weight loss. The client has been in the hospital 4 times over the last several months and is "tired of being poked and prodded." Which topic would be most important for the nurse to discuss with this client's health care team?
a. Need for discharge to a skilled nursing facility b. Nutritional consult with instructions on a high-calorie diet c. Option of palliative care d. Physical therapy prescription to promote activity
Which statement best describes the scientific rationale for prescribing the biguanide metformin (Glucophage)?
a) This medication increases insulin resistance, improving blood glucose control. b) This medication allows carbohydrates to pass slowly through the large intestine. c) This medication will decrease hepatic production of glucose from stored glycogen. d) This medication stimulates the beta cells to release more insulin into the blood stream.