A patient receives heparin daily. The nurse should assess for which clinical response that indicates the need to discontinue heparin therapy?
a. International normalized ratio (INR) of 2.5
b. Platelet count of 150,000/mm3
c. Reflux
d. Hematuria
D
Hematuria is a serious side effect and requires temporary discontinuation of heparin therapy. A low platelet count can occur in a small percentage of patients who are receiving heparin therapy, which often resolves without intervention. The INR value is obtained to assess the effectiveness of warfarin therapy, not heparin. Heparin is administered parenterally, not by mouth, thus de-creasing the risk for irritation.
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What type of alternative therapy is the nurse practicing when using essential oils to provide inhalation treatments?
a. Magnet therapy b. Respiratory therapy c. Herbal therapy d. Aromatherapy
A patient had ingested hot coffee immediately after having an oral temperature reading obtained of 101°F
The health care provider is asking for the temperature measurement to be repeated using a tympanic membrane thermometer. What temperature will the nurse most likely obtain using this different measurement route? A) 102.4°F B) 99.6°F C) 98.6°F D) 103.8°F
Which of these postoperative complications is MORE likely to occur in older adult clients?
a. deep vein thrombosis b. dehydration c. pneumonia d. unpredictable responses to medications and anesthetics
A nurse is educating a student nurse on how STIs affect the health of their clients. Which of the following statements accurately describes an effect of an STI?
A) STIs are most common in young to middle adulthood populations. B) The incidence of STIs is decreasing due to health promotion efforts. C) Most of the time STIs cause no symptoms, especially in women. D) Health problems caused by STIs are more severe and frequent in men.