A patient has petechiae in a few areas of the body and develops ecchymoses from even minor trauma to the skin. Which vitamin may be deficient in this patient?
a. Vitamin A
b. Vitamin B12
c. Vitamin C
d. Vitamin K
ANS: D
Vitamin K is essential for the formation of clotting factors II, VII, IX, and X in the liver. Thus, vitamin K deficiency is associated with bleeding tendencies and is characterized by petechiae, ecchymoses, bleeding into joints or muscles, hematemesis, hematuria, gastrointestinal (GI) bleed-ing, asthenia, and hypovolemic shock.
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A client with a diagnosis of sepsis has received intravenous immune globulin (IVIG) as a partial treatment. The nurse knows which of the following client responses listed below would best suggest an accurate understanding of IVIG treatment?
A) "These antibodies in the solution have been collected from individuals who have successfully fought off the same infection." B) "The IVIG should help stimulate fever, inflammation, and tissue repair in the fight against the infection." C) "A big part of my IVIG treatment is actually stimulating and supplementing my immune system to do the work itself." D) "The main effect of IVIG is to cause my body to produce more white blood cells to fight infection."
When assessing an older adult for seizures, the nurse should be alert for:
A) a blank stare and brief unresponsiveness. B) muscular rigidity and loss of consciousness. C) muscular contraction and relaxation. D) extremities rigid and extended.
The depressed client is deciding which type of treatment would be beneficial for him. The nurse would document that the patient is utilizing which of the following ethical principles in this situation?
A) Justice B) Beneficence C) Autonomy D) Veracity
An airway ____________________ is a secondary device used to maintain respirations.
Fill in the blank(s) with the appropriate word(s).