The nurse notes the past medical history information that is significant to potential bleeding problems as (select all that apply):
1. drinks two glasses of wine a day.
2. eats red meat three times a week.
3. takes NSAIDs for arthritis four times a day.
4. has hepatitis B.
5. had a cardiac valve replaced 6 months ago.
3, 4, 5
NSAIDs and liver disorders enhance the probability of bleeding. The valve replacement of a few months ago suggests that the patient is using anticoagulant drugs.
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A client scheduled for surgery asks, "Is it okay that the surgeon is going to remove my tonsils and adenoids?" What is the nurse's best response?
1. "Sometimes removing tissue is a healthier option than leaving it in place." 2. "Those tissues don't do anything but cause sore throats, so it is good to be rid of them." 3. "We aren't certain why we have them to start with." 4. "This is a common procedure, and you will have to be on prophylactic medications during cold and influenza season for the first year after having these tissues removed."
The child is also experiencing anorexia. The mother expressed concern that the child is no longer eating. The nurse could:
a. Place child on a strict diet b. Omit spicy food from the diet c. Allow the child to eat anything desired d. Make child NPO
In assessing a child with acquired hypothyroidism, the nurse will most often find which of the following signs or symptoms?
a. decreased rate of growth, weight gain, dry skin, coarse or thinning hair, and fatigue b. headaches, dizziness, shakiness, disturbed vision, confusion, and frequent hunger c. rapid respiratory rate, tachycardia, weakness, and unusual odor to breath d. skin rash, loss of taste, mild leukopenia, and abnormal pigmentation of hair
A client is demonstrating the technique for mixing regular and NPH insulins in the same syringe. A nurse evaluates that further instruction is required if the client first:
A. Aspirates and injects air equal to the regular insulin dose into the vial and withdraws the regular insulin B. Aspirates and injects air equal to the NPH insulin into the vial but does not withdraw the medication C. Withdraws the proper amount of NPH insulin before withdrawing the regular insulin D. Calculates the combined total of insulin after withdrawal of the NPH insulin