Only approved abbreviations should be used in the patient medical record
Indicate whether the statement is true or false
TRUE
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Hemostasis begins as soon as the injury occurs and a clot begins to form. The substance in the clot that holds the wound together is:
a. fibrin. b. thrombin. c. protime. d. calcium.
The nurse is preparing to obtain a pulmonary artery occlusion pressure (PAOP) reading for a patient who is mechanically ventilated. Ensuring that the air-fluid interface is at the level of the phlebostatic axis, what is the best nursing action?
a. Place the patient in the supine position and record the PAOP immediately after exhalation. b. Place the patient in the supine position and document the average PAOP obtained after three measurements. c. Place the patient with the head of bed elevated 30 degrees and document the average PAOP pressure obtained. d. Place the patient with the head of bed elevated 30 degrees and record the PAOP just before the increase in pressures during inhalation.
In addition to eye contact, early sensual contacts between infant and mother involve sound and smell. Nurses should be aware that, despite what folk wisdom might say:
a. High-pitched voices irritate newborns. b. Infants can learn to distinguish their mother's voice from others soon after birth. c. All babies in the hospital smell alike. d. A mother's breast milk has no distinctive odor.
The nurse is caring for a patient with systemic lupus erythematosus (SLE). The patient complains of severe fatigue, a butterfly rash, and joint pain. Which nursing interventions are most appropriate for this patient? (Select all that apply.)
a. Encourage the use of a sun lamp to help with the rash. b. Assess pain control measures that have helped the patient in the past. c. Assist the patient with planning rest pe-riods throughout the day. d. Remind the patient to avoid contact with people who have an infection. e. Ensure the patient understands the impor-tance of her medication regimen.