A client diagnosed with chronic disseminated intravascular coagulation is prescribed heparin. The nurse realizes that this medication is used to:
1. increase blood flow to the circulation.
2. increase blood clot formation.
3. decrease blood flow in the circulation.
4. decrease blood clot formation.
4
Heparin is given for its interference with the clotting processes and the chance of preventing further overuse of clotting factors. Heparin is usually only used when other methods of management are failing. Heparin does not increase or decrease blood flow in the circulation. Heparin does not increase blood clot formation.
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A physician is providing care for a number of patients on a medical unit of a large, university hospital
The physician is discussing with a colleague the differentiation between diseases that are caused by abnormal molecules and diseases that cause disease. Which of the following patients most clearly demonstrates the consequences of molecules that cause disease? A) A 31-year-old woman with sickle cell anemia who is receiving a transfusion of packed red blood cells B) A 91-year-old woman who has experienced an ischemic stroke resulting from familial hypercholesterolemia C) A 19-year-old man with exacerbation of his cystic fibrosis requiring oxygen therapy and chest physiotherapy D) A 30-year-old homeless man who has Pneumocystis carinii pneumonia (PCP) and is HIV positive.
The nurse who is seeking legal guidance in delegating assignments to assist workers in an ambulatory care setting would best consult
a. agency protocols. b. recently published texts. c. the agency's legal counsel. d. the state nurse practice act.
A patient with a chronic illness who is receiving palliative care asks the nurse if a newly prescribed medication will cure the disease. What is the nurse's best response?
1. "It will help you be more comfortable. I don't think it's going to cure the disease.". 2. "Of course it's going to cure the disease.". 3. "If you believe it will cure the disease, then it will.". 4. "I don't think it's going to help or hurt at this time.".
When discharging a 15-month-old pediatric client who had gastritis, a nurse tells the parents that dental caries result from the interaction between which of the following factors? Select all that apply.
A) Genetically susceptible tooth B) Bacteria C) Carbohydrates D) Time E) Inflammation