The client has an international normalized ratio (INR) value of 1.5. What action will the nurse take?
a. Administer an additional dose of warfarin (Coumadin).
b. Hold the next dose of warfarin (Coumadin).
c. Increase the heparin drip rate.
d. Administer protamine sulfate.
Answer: a. Administer an additional dose of warfarin (Coumadin).
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During the examination of a male client who has not been circumcised, the nurse attempts to retract the foreskin of the penis, but skin is very tight and cannot be pulled back. Based on this data, which condition does the nurse anticipate for this client?
1. Urethral stricture. 2. Paraphimosis. 3. Urethritis. 4. Phimosis.
A client talks very loudly and provides inappropriate responses to questions. The nurse would assess this client for a:
a. cognitive impairment. b. stroke. c. potential hearing loss. d. sensory overload.
A client who has chronic kidney disease is being discharged from the hospital after receiving treatment for a hip fracture. Which information is most important for the nurse to provide to the client before discharge?
a. "Increase your intake of foods with pro-tein." b. "Monitor your daily intake and output." c. "Maintain bedrest until the fracture is healed." d. "Take your aluminum hydroxide (Neph-rox) with meals."
A toddler has a unilateral foul-smelling nasal discharge and frequent sneezing. The nurse should suspect what condition?
a. Allergies b. Acute pharyngitis c. Foreign body in the nose d. Acute nasopharyngitis