A patient is taking Coumadin for a cardiac disorder. Which of the following diagnostic tests will be used to assess the patient's coagulation status?
1. PT
2. PTT
3. APTT
4. D-dimer
1
Rationale: Prothrombin time or PT is a measure of factor II and is used to evaluate the anticoagulant status of a patient prescribed warfarin sodium or Coumadin. PTT and APTT are both used to assess the anticoagulation status of a patient prescribed heparin. D-dimer is used to diagnose disseminating intravascular coagulation and to rule out the presence of a pulmonary embolism.
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Nurse Maryse invites a recently discharged patient's family to attend an outpatient support group. This type of program would most likely help the family with which of the following issues?
A. Learning from others in the same situations B. Gaining insight into why they feel guilty C. Recognizing the client's weakness D. Managing the client's financial concern and problems
When working with pregnant adolescents, the nurse plans on assessing which of the following? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. High-birth-weight infants 2. Pelvic measurements 3. For sexually transmitted infections 4. Low blood pressure readings 5. Hemoglobin and hematocrit
A person receiving health care insurance from his employer knows that he should check the approved list of contracted health care providers before seeking services, in order to receive them at a lower cost. What type of insurance is most likely involved?
A) Medicaid B) Preferred provider organization C) Health maintenance organization D) Long-term care insurance
A patient was admitted for AAA with a pulsating abdominal mass. The nurse notes a sudden onset of diaphoresis, decreased level of consciousness, a blood pressure of 88/60 mm Hg, and an irregular apical pulse. Oxygen is in place via mask. What is the priority nursing action at this time?
a. Establish IV access. b. Alert the Rapid Response Team. c. Auscultate for a bruit and assess the mass. d. Place the patient on the cardiac monitor.