A client who has been taking warfarin (Coumadin) is admitted with coffee-ground emesis. What is the nurse's primary action?
a. Administer vitamin E.
b. Administer vitamin K.
c. Administer protamine sulfate.
d. Administer calcium gluconate.
Answer: b. Administer vitamin K.
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Mr. L's health insurance has just expired though he is still in the recovery stages of a serious exacerbation of his chronic obstructive pulmonary disease. Backdating the paperwork by only 2 days will spare Mr
L the out-of-pocket expense of home oxygen therapy. The nurse who is organizing Mr. L's care on discharge has chosen a course of action that prioritizes the principle of veracity. Which of the following courses of action best exemplifies this principle? A) Backdating the paperwork to ensure that Mr. L does not sustain harm from having to pay or having to go without oxygen therapy. B) Backdating the paperwork because it will clearly maximize Mr. L's well-being at a nominal cost to the insurer. C) Refusing to backdate the paperwork because to do so would be untruthful. D) Refusing to backdate the paperwork because to do so would be an unjust act toward the insurance company.
The patient receives digoxin (Lanoxin). Which assessment findings would indicate adverse effects to this medication?
1. Tachycardia and hypotension 2. Blurred vision and tachycardia 3. Anorexia and nausea 4. Anorexia and constipation
For which order would the nurse seek clarification regarding a patient with decreased renal perfusion and lowered glomerular filtration rate?
1. Administer acetylcysteine prior to an intravenous pyelogram procedure. 2. Infuse vancomycin 1,500 mg IV every 12 hours. 3. Check a peak and trough level with every third dose of IV clindamycin. 4. Give furosemide 10 mg by mouth daily.
The nurse is explaining to a client whose cast is being removed what to expect under the cast. Which of the following is a normal finding?
A) The skin may be covered with scales. B) The skin will be hot and edematous. C) The skin will appear red. D) The skin will be cyanotic.