The nurse reminds the patient who is on Coumadin for the treatment of atrial fibrillation that the ideal is to maintain the international normalized ratio (INR) at between:
a. 1 and 2.
b. 2 and 3.
c. 3 and 4.
d. 4 and 5.
ANS: B
The desired INR for the monitoring of anticoagulant therapy is between 2 and 3.
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What patient would be appropriately transferred to an assisted living facility by the nurse?
1. The patient requiring ongoing skilled-nursing observation 2. The patient recovered enough to return to work and daily life 3. The child burned in a fire who lost both parents to the tragedy 4. The patient who needs minimal assistance in performing activities of daily living but cannot live alone
Which of the following best explains why home health care agencies that are part of national chains are doing better in the competitive marketplace than individually owned agencies?
a. There is better media coverage and a nationally known "name" recognized by prospective clients. b. They are able to offer lower quality care using less well-prepared caregivers to ensure maximum profit. c. The chief executive officer usually has extensive experience and makes wise decisions. d. There are lower administrative costs and easier negotiating when buying in bulk.
A patient broke his arm in a sports accident and required the application of a cast. Shortly following application, the patient complained of an inability to straighten his fingers and was subsequently diagnosed with Volkmann contracture
What pathophysiologic process caused this complication? A) Obstructed arterial blood flow to the forearm and hand B) Simultaneous pressure on the ulnar and radial nerves C) Irritation of Merkel cells in the patient's skin surfaces D) Uncontrolled muscle spasms in the patient's forearm
Which of the following patient problems is given the highest priority by the nurse?
a. Anxiety related to hospitalization as manifested by hyperactive state b. Impaired tissue perfusion, cerebral, related to hypoxia as manifested by decreased level of consciousness c. Impaired skin integrity related to surgical incision d. Risk for fluid volume overload related to imbalance in antidiuretic hormone as manifested by peripheral edema and decreased sodium