A nurse working with a patient with a Novacor ventricular assist device (VAD) for long-term circulatory support recognizes that this patient is at risk for thromboembolic events. Which of the following is the best intervention for this patient?
A) Heparin infusions indefinitely
B) Warfarin therapy initially, which is gradually replaced by heparin infusions
C) Warfarin therapy indefinitely
D) Heparin infusions initially, which is gradually replaced by warfarin therapy
D
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A nurse working in the ICU receives orders for dopamine, which is an intravenous vasoactive drug. The priority assessment and interventions specific to the administration of vasoactive medications are:
A) Frequent vitals, monitoring the central-line site, and providing accurate drug titration B) Reviewing medications, performing a focused cardiovascular assessment, and providing patient education C) Reviewing the laboratory findings, monitoring urine output, and assessing for peripheral edema. D) Routine vitals, monitoring the peripheral IV site, and providing early discharge instructions.
The nurse is noting an order for a medication to be given TID. Which times will the nurse plan to administer the medication to the patient?
a. 9 A.M., 1 P.M., 5 P.M. and 10 P.M. b. 9 A.M. and 9 P.M. c. 9 A.M., 1 P.M. and 5 P.M. d. Nightly before the patient goes to sleep
A 16-year-old client is in the lounge with other clients on the inpatient unit when he suddenly becomes agitated. Which action by the nurse would be most appropriate in this situation?
a. Turn up the volume on the television to distract the client. b. Bring him to sit at the nurses' station while the staff is doing shift report. c. Keep him in the lounge and attempt to converse with him. d. Accompany him to a room where soft music is playing.
To obtain a measurement of skinfold thickness of your patient's triceps, you would ask the patient to relax in his chair and then you would take the measurement
a. on the upper part of his dominant arm. b. while you grasp the skin and pull it free from the muscle. c. recording the finding to the nearest 1 mm. d. twice on each arm and average the findings.