A patient has developed disseminated intravascular coagulation (DIC). Which assessment would the nurse evaluate as reflecting the microthrombosis results of this disorder?
1. Oozing from older intravenous access sites
2. Jaundice
3. Petechiae
4. Ecchymoses
Answer: 2
You might also like to view...
An adolescent has just returned from surgery after spinal fusion surgery. Which assessment finding would take priority at this time?
1. Sleeps when not bothered but arouses easily with stimuli 2. Impaired color, sensitivity, and movement to lower extremities 3. Nausea 4. Pain
A nurse is teaching the parents of a 10-year-old child diagnosed with cystic fibrosis. Which instruction by the nurse is most appropriate?
A. "For Pseudomonas infections, we can use penicillin antibiotics." B. "Preventing respiratory infections is crucial for quality of life." C. "Unfortunately, your child is sterile and unable to have children." D. "With pancreatic enzymes, vitamin replacement is not needed."
A patient comes to the clinic for his weekly "allergy shot." He missed his appointment the week before because of a family emergency. Which action by the nurse is appropriate in administering his injection?
a. Administer the usual dosage of the allergen. b. Double the dosage to account for the missed injection the previous week. c. Consult with the physician about decreasing the dosage for this injection. d. Reevaluate his sensitivity to the allergen with a skin test.
Which of the following statements, made by a new nurse, are myths and need correcting? (Select all that apply.)
A) "Ageism is highly influenced by stereotypes and cultural values." B) "Ageism is more common in industrialized societies." C) "In the United States, 20% of the older adults who need care are in a nursing home." D) "People consider themselves old when they are old enough to apply for Medicare." E) "With increased age, people become more diverse and people become less like their age peers."