The nurse notices that a patient with an arterial line has an elevated partial thromboplastin time (PTT) and is not on anticoagulation therapy. The nurse would:
1. Take the patient for an immediate V/Q scan.
2. Assess for the presence of a deep vein thrombosis.
3. Change the heparinized saline solution in the pressure bag for the arterial line to a normal saline solution.
4. Ask for an order to begin Lovenox therapy.
3
Rationale 1: This does not need to be done.
Rationale 2: The elevated partial thromboplastin time would be desired for this situation.
Rationale 3: Heparinized solutions are contraindicated in patients with coagulation deficiencies or heparin-induced thrombocytopenia.
Rationale 4: This does not need to be done.
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a. Inspect the client's distal finger joints. b. Palpate the client's abdomen for tenderness. c. Palpate the client's upper body lymph nodes. d. Perform range of motion on the client's wrists.
The nurse provides patient teaching about use of levodopa for treatment of Parkinson's disease. What statement by the patient would indicate a good understanding of levodopa?
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A nurse finds that a colleague is intoxicated while on duty. What appropriate action should the nurse take?
A) Inform the nursing supervisor B) Tell the colleague to take a 30-minute break C) Inform the physician D) Watch the colleague closely during the shift
A 4 year-old has been admitted through the ER because of a diagnosis of the syndrome of Inappropriate Antidiuretic Hormone (SIADH). The nurse will need to monitor for:
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