The patient recovering from a CVA asks the purpose of the Coumadin (warfarin). The best response by the nurse is that Coumadin:
1. dissolves the clot.
2. prevents formation of new clots.
3. dilates the vessels to improve blood flow.
4. suppresses the formation of platelets.
2
Coumadin and heparin prevent more clots rather than dissolving them. Coumadin has no effect on vasodilation or blood cell production.
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Primary intention has a marked advantage over other phases of wound healing because:
a. healing is rapid. b. healing rarely becomes infected. c. minimal scarring results. d. healing is painless.
A patient with end-stage heart failure is experiencing considerable dyspnea. Appropriate pharmacological management of this symptom includes:
a. administration of 6 mg of midazolam (Versed) and initiation of a continuous midazolam infusion. b. administration of morphine, 5 mg IV bolus, and initiation of a continuous morphine infusion. c. hourly increases of the midazolam (Versed) infusion by 100% dose increments. d. hourly increases of the morphine infusion by 100% dose increments.
A patient asks a nurse if karaya products can be used to seal the urostomy appliance. On what knowledge should the nurse base a response?
a. Any adhesive is effective on a urostomy appliance. b. Urine breaks down karaya products. c. Karaya products can cause urinary infec-tions. d. Formation of urine crystals is increased with the use of karaya products.
The school nurse is assessing children for risk factors related to childhood injuries. Which child has the most risk factors related to childhood injury?
a. Female, multiple siblings, stable home life b. Male, high activity level, stressful home life c. Male, even tempered, history of previous injuries d. Female, reacts negatively to new situations, no serious previous injuries