A patient is receiving a thrombolytic medication. The patient calls the nurse to report having bloody diarrhea. The nurse will anticipate administering which medication?
a. Aminocaproic acid (Amicar)
b. Enoxaparin sodium (Lovenox)
c. Protamine sulfate
d. Vitamin K
ANS: A
The antithrombolytic drug aminocaproic acid is used to treat hemorrhage. Nurses giving thrombolytic drugs should monitor patients for bleeding from the mouth and rectum. Enoxaparin is given for disseminated intravascular coagulation. Protamine sulfate is an antidote for heparin. Vitamin K is an antidote for warfarin.
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A child comes to the school nurse with his index finger partially amputated and hanging by a shred of skin and muscle. What is the best action by the nurse?
a. Flush the hand with warm water and wrap it in a towel. b. Carefully cut the skin holding the finger and wrap the finger and hand in a clean towel. c. Pinch the finger to stop the bleeding and take the child to the hospital. d. Wrap the hand and finger securely and place it on an ice water–filled plastic bag.
A patient presents at the clinic with white patches on his penis and enlarged inguinal lymph nodes. The diagnosis is penile cancer. The nurse is aware that the treatment for penile cancer is treatment of the primary lesion followed by what?
A) Chemotherapy B) Radiation therapy C) Palliative care D) Broad-spectrum antibiotics
A nurse has been caring for a client with generalized anxiety disorder. The nurse should evaluate that the care has been effective when the client is able to:
Select all that apply. A) Recognize signs of escalating anxiety. B) Avoid any situation that causes stress. C) Utilize relaxation techniques to limit anxiety. D) Maintain anxiety at a manageable level without the use of medications. E) Discuss plans to handle panic attacks if they occur.
Laffrey, Loveland-Cherry, and Winkler describe two paradigms from which the key concepts of nursing science can be viewed. The health paradigm includes:
1. Health defined as the absence of disease. 2. A view of the person's lifestyle judged by their prescribed regime 3. Humans viewed as complex and interconnected with the environment. 4. The directions nurses should take in community education.