An advantage of the LMW heparins over standard heparin is that:
A. their bioavailability is almost complete following subcutaneous administration.
B. they can be administered orally.
C. they are less effective at binding active factor X.
D. they seldom interfere with the coagulation cascade but can produce the same spectrum of interference as standard heparin.
Answer: A
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A nurse who is caring for a maturing Jewish girl preparing for her passage into adulthood, bat mitzvah, would arrange the care to allow time for:
1. instruction and study. 2. prayer and meditation. 3. her father's blessing. 4. eating a ritual meal of bread and water.
A child is recovering from Kawasaki disease (KD). The child should be monitored for which?
a. Anemia b. Electrocardiograph (ECG) changes c. Elevated white blood cell count d. Decreased platelets
What actions by the student would manage the physical environment? (Select all that apply.)
a. Set up an area that is specific to school work. b. Choose a work area that has soft, dim lighting. c. Choose a work area that is free from dis-tractions. d. Gather appropriate tools before each study session begins. e. Study for 30 minutes at a time and take a 5-minute break in between.
A patient incidentally shares with you that he has difficulty controlling his anger when around children because their play irritates him, leading to resentment and fantasies about attacking them. He has a history of impulsiveness and assault, escalates easily on the unit, and has a poor tolerance for frustration. This weekend he has an overnight pass, which he will spend with his sister and her family. As you meet with the patient and his sister just prior to the pass, the sister mentions that she has missed her brother because he usually helps her watch the children, and she has to work this weekend and needs him to babysit. The patient becomes visibly apprehensive upon hearing this. Which of the following responses would best reflect appropriate nursing practice relative to the
conflict this situation presents between safety and the patient's right to confidentiality? 1. Cancel the pass without explanation to the sister, and reschedule it for a time when babysitting would not be required of the patient. 2. Suggest that the sister make other arrangements for child care, but withhold the information the patient shared regarding his concerns about harming children. 3. Speak with the patient about the safety risk involved in babysitting, seeking his permission to share this information and advising against the pass if he declines to share the information. 4. Meet with the patient's sister, sharing with her the patient's previous disclosure about his anger towards children and the resultant risk that his babysitting would present.