When reviewing a patient's history and physical information, the nurse notes that the patient has physician's orders for chloral hydrate and warfarin
During assessment of this patient, the nurse observes areas of petechiae and ecchymosis on the upper and lower extremities. The most appropriate lab work for the nurse to assess next is
a. liver function studies.
b. C-reactive protein.
c. sedimentation rate.
d. prothrombin time.
ANS: D
Chloral hydrate may enhance the anticoagulant effects of warfarin. The patient should be observed for petechiae, ecchymoses, nosebleeds, bleeding gums, dark tarry stools, and bright red or coffee-ground emesis. Prothrombin time should be monitored, and the physician should reduce the dosage of warfarin, if necessary.
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The nurse is caring for a patient receiving intravenous acyclovir [Zovirax]. To prevent nephro-toxicity associated with intravenous acyclovir, the nurse will:
a. hydrate the patient during the infusion and for 2 hours after the infusion. b. increase the patient's intake of foods rich in vitamin C. c. monitor urinary output every 30 minutes. d. provide a low-protein diet for 1 day before and 2 days after the acyclovir infusion.
The nurse is providing counseling to the mother of a child diagnosed with fragile X syndrome. She explains to the mother that fragile X syndrome is
a. Most commonly seen in girls b. Acquired after birth c. Usually transmitted by the male carrier d. Usually transmitted by the female carrier
The Tuckman and Jensen Conceptual Model of team process development includes:
a. six stages. c. four stages. b. five stages. d. three stages.
Which one of the following groups of actions fulfills the three core public health functions in their proper order?
A) Counting the number of kindergarten students who are fully immunized, encouraging the school officials to exclude children who are not fully immunized, and offering immunization clinics at the school B) Identifying a source of pollution in the community, educating local residents about precautions that should be taken when the pollution exceeds minimum standards, and asking legislators to apply sanctions to the responsible party for the source of pollution C) Providing prenatal care for pregnant adolescents, determining how many pregnant adolescents currently attend the school, and encouraging school officials to provide an alternative school setting for the pregnant adolescents D) Lobbying for a citywide ban on smoking in public, providing smoking cessation services in the community, and reviewing mortality data to determine the number of people in the community who die each year from lung cancer