The laboratory test result that would be most helpful to the nurse in the assessment of a client with a bleeding disorder is
a. differential count.
b. hematocrit.
c. platelet count.
d. RBC count.
C
Platelets have a key role in blood clotting. An abnormal platelet count would indicate bleeding problems originating from a platelet disorder.
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The nurse assesses the postpartum client who has not had a bowel movement by the third postpartum day. Which of the following nursing interventions would be appropriate?
A. Encourage patience; it will happen soon. B. Instruct the client to eat a low-fiber diet. C. Encourage the client to decrease her fluid intake. D. Obtain an order for a stool softener.
A patient newly diagnosed with tuberculosis asks the nurse why oral medications must be given in the clinic. The nurse will tell the patient that medications are given in the clinic so that:
a. clinic staff can observe adherence to drug regimens. b. nurses can monitor for drug toxicities. c. providers can adjust doses as needed. d. the staff can ensure that the U.S. Food and Drug Administration (FDA) regulations are met.
The nurse notes a client that has received intravenous vancomycin (Vancocin) develops an upper body rash and has a decreased urine output. In addition to notifying the healthcare provider, which is the nurse's priority action?
A. Hold the next dose of vancomycin (Vancocin). B. Obtain a stat x-ray. C. Administer an antihistamine. D. Obtain a sterile urine specimen.
A 16-year-old has a stiff neck, headache, fever of 103°F, and the nurse notes purpuric lesions on the child's legs
Although the adolescent's physical needs take priority at the present time, the nurse can expect which psychologic stressor to be the most significant for this adolescent? 1. Fear of getting behind in schoolwork 2. Separation from friends and permanent changes in appearance 3. Separation from parents and home 4. Fear of painful procedures and bodily mutilation