The nurse is caring for a patient who has a deep leg wound that is badly infected. Which laboratory test results will the nurse expect to find in the patient's chart?
a. C-reactive protein (CRP) 6.5 mg/dL
b. Serum creatinine 0.8 mg/dL
c. Serum bilirubin 0.5 mg/dL
d. Prothrombin time (PT) 11.5 sec
ANS: A
C-reactive protein is an indicator of inflammation, tissue damage, and infection within the body. Creatinine is an indicator of kidney function, and bilirubin is an indicator of liver function. Prothrombin time indicates clotting ability of the blood, particularly when the patient is taking warfarin (Coumadin).
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The nurse is caring for a client with a drain connected to a portable drainage suction device shaped like a grenade made of plastic. Which term will the nurse use when describing this system during end-of-shift report?
1. Closed wound drainage system 2. Hemovac 3. Jackson-Pratt 4. Reinfusion drain
The nurse arrives at work to find the unit will be short staffed for the shift because a nurse called in sick at the last minute, leaving no time to find a replacement
What factors contribute to the dilemma faced by the nurse working this shift? Select all that apply. a. The nurse's multiple obligations and relationships b. Value conflicts and lack of clarity within the profession c. Autonomy versus escaping hard choices d. Higher pay versus cost effectiveness e. Caring versus the decreased time to spend with patients
The nurse is assessing several clients receiving intravenous therapy. Which client situation requires immediate intervention?
a. Completion of an intermittent medication into a Groshong catheter b. Physician's order to discontinue a peripheral intravenous catheter c. Nonaccessed implanted port placed 1 month ago without problem d. Peripheral IV catheter dated 5 days ago used for once-daily antibiotics
Identify a typical response for a manager who uses the laissez-faire approach to leadership when faced with a difficult decision
a. Consult with the coworkers on the best way to resolve the problem. b. Make the tough decision by himself or herself and accept the responsibility. c. Appeal to a higher authority to make the decision. d. Postpone making the decision in the hopes that it will resolve itself.