The nurse is assessing a client with liver failure. Which assessment is the highest priority for this client?
a. Auscultation for bowel sounds
b. Assessing for deep vein thrombosis
c. Monitoring of blood pressure hourly
d. Assessing for signs of bleeding
D
All these options are important in assessment of the client, but the most important action is as-sessment for signs of bleeding. The liver is the site of production of prothrombin and most of the blood-clotting factors. Clients with liver failure run a high risk of having problems with bleeding.
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A nurse subscribes to the philosophy of deontology. This means the nurse makes decisions based on
a. cultural competence. b. equal access. c. greatest good. d. perceived duty.
During a trip to Southeast Asia under the auspices of a nongovernmental organization a 30-year-old man has developed the characteristic signs and symptoms of malarial
In choosing the appropriate drug regimen for the man's treatment, the clinician will consider which of the following variables? (Select all that apply.) A) The identity of the Plasmodium species as identified in lab testing B) The clinical presentation of the patient C) The patient's body mass index D) The patient's gender E) The geographic area where the patient became infected
A nurse discovers that a person is being abused. What should the nurse do to prevent the abuse from continuing? (Select all that apply.)
1. Appropriate assessment 2. Verbalize to the victim that he or she is a good person and the abuser is the bad person 3. Documentation 4. Intervention 5. Know the laws associated with reporting abuse
The nurse is providing instruction to a group of patients who are planning to participate in an athletic triathlon. Each member of the group has been diagnosed with either diabetes mellitus type 1 or type 2
A member of the group asks, "If we each follow our usual daily diabetic control routine, which diabetic complication is most likely to occur during this event?" What is the nurse's best answer? 1. Diabetic ketoacidosis 2. Hypoglycemia 3. Hyperosmolar hyperglycemic state 4. Impaired glucose tolerance