The client uses Ginkgo biloba to enhance memory functioning but has not told the nurse about this herb. The healthcare provider orders warfarin (Coumadin) for this client. Which findings may the nurse find upon assessment?
A. Headache, dizziness, sweating, and agitation
B. A blood glucose of 56
C. An international normalized ratio (INR) of 3.0
D. Petechiae and bleeding from the gums
Answer: D
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The nursing student asks the nurse the reason that knowledge of nursing theories is important. The nurse should respond that nurses use nursing theories to do which of the following? Standard Text: Select all that apply
1. Organize assessment data. 2. Generate goals. 3. Evaluate outcomes. 4. Plan interventions. 5. Generate nursing actions.
A nurse manager overhears a conversation in which staff nurses complain about the evaluation process. One nurse says, "It really is just a waste of time. I get the same raise no matter what I'm rated
" Which is the best way for the manager to address this concern? 1. Lobby administration to implement raises based on merit. 2. Call the nurse aside and state agreement with the complaint. 3. Report the episode to the chief nursing officer. 4. Emphasize the practice development aspects of evaluation.
The family members of a critically ill, 90-year-old patient bring in a copy of the patient's living will to the hospital, which identifies the patient's wishes regarding health care
You discuss contents of the living will with the patient's physician. This is an example of implementation of which of the AACN Standards of Professional Performance? a. Acquires and maintains current knowledge of practice b. Acts ethically on the behalf of the patient and family c. Considers factors related to safe patient care d. Uses clinical inquiry and integrates research findings in practice
A patient who is experiencing chest pain and shortness of breath is brought to the emergency department. The nurse assesses a heart rate of 98 beats per minute, bilateral lung crackles, and an oxygen saturation of 93%
What drug will the nurse expect to administer initially to this patient? a. Albuterol b. Aspirin c. Nitroglycerin d. Oxygen