What precaution should the nurse give in preparation for self-care to a person who will be taking warfarin (Coumadin) for 6 months?

A. "Decrease your intake of sodium."
B. "Your blood-clotting time will decrease."
C. "Increase your intake of multiple vitamins."
D. "Avoid aspirin and aspirin-containing drugs."


D
Warfarin inhibits synthesis of vitamin K–dependent clotting factors. Aspirin inhibits platelet ag-gregation. These two mechanisms greatly increase the client's risk for uncontrollable bleeding.

Nursing

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The critically ill patient has a urine specific gravity of 1.030 . This finding is

A) increased. B) decreased. C) normal. D) inappropriate.

Nursing

Which of the following is a meta-analysis?

a. Review of 35 studies on nurse work satis-faction to determine the significance of the aggregated research findings b. Review of multiple chart audits to deter-mine which errors are being reduced through implementation of evidence-based guidelines c. RCT comparing the effectiveness of a lo-cal anesthetic in reducing the pain of ve-nipuncture in young children d. Analysis of factors contributing to nurse burnout and dissatisfaction at emergency room sites

Nursing

During the nurse's preoperative assessment, the nurse notices that the patient is extremely anxious. The patient's blood pressure is 142/92 mm Hg, heart rate is 104 per minute, and respirations are 34. The nurse should:

1. go ahead and give the preoperative medicine early to help calm the patient. 2. call the operating room and cancel the surgery. 3. notify the anesthesiologist or surgeon. 4. instruct the patient on possible postoperative complications.

Nursing

A client in the pulmonary care unit has a respiratory rate of 15 . What term should the nurse use to describe the condition of the client?

A) Eupnea B) Orthopnea C) Dyspnea D) Apnea

Nursing