A patient is being evaluated for thyroid dysfunction. His daily regular medications include aspirin, Lanoxin, and insulin. The nurse knows that the laboratory work may be affected by
a. the aspirin. c. the insulin.
b. the Lanoxin. d. none of the medications.
A
Several drugs increase the serum level of T4 by displacing protein-bound T4 . Drugs that displace T4, including heparin (both unfractionated and low-molecular-weight heparins), cause an increase in serum T4 levels. Salicylates (aspirin) and furosemide (Lasix) also raise T4 serum levels by the same mechanism.
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A nurse is preparing to draw blood from a client. Where should the tourniquet be applied?
a. 2 inches above the venipuncture site b. 3 to 4 inches above the venipuncture site c. 5 inches above the venipuncture site d. 6 to 7 inches above the venipuncture site
The nurse is receiving a critical laboratory value about a client over the telephone. Which of the following should the nurse do after receiving the critical value?
a. Phone the physician. b. Inform the client of the value. c. Write it down or enter it into the computer and read the value back to the person providing the information. d. Write the value down in the physicians orders and document verbal communication.
A consumer is learning about electronic health records at a local health fair and states, "I am worried that someone can read my health information and I really don't understand the difference between privacy and confidentiality." The nurse explains that an example of confidentiality would be:
a. a pledge that states, "I will hold matters pertaining to my patients in strict intimacy." b. a patient who does not tell the physician that he has been treated for a sexually transmitted disease. c. a teenager who sustains a broken arm and in the emergency department and withholds information about her use of recreational drugs. d. locking medical records in cabinets to prevent unauthorized users from accessing patient information.
What is the most important consequence of the ANA Position Paper on Education for Nurses?
a. Increased numbers of associate degree programs b. Large numbers of students graduating with baccalaureate degrees in nursing c. Resistance to the proposal by hospitals and diploma nursing programs d. Demand for a clear distinction between technical and professional nursing pro-grams