the laboratory notifies the nurse that a client who had a total knee replacement 3 days ago and is receiving heparin has an activated partial thromboplastin time (aptt) of 95 seconds. after verifying the values, the nurse calls the health care provider (hcp). what prescription for the client should the nurse recommend the hcp consider?
a nurse isa psychiatric-mental health nurse is teaching a class about schizophrenia. when describing delusions, which information would the nurse most likely include? caring for a client diagnosed with schizophreniform disorder. the nurse demonstrates understanding of this disorder when identifying that the client is at risk for developing what?
the aed is most advantageous to the emt because: a. it delivers prompt defibrillation to patients with ventricular fibrillation. b. it is lightweight, easy to use, and safe for the emt who is using it. c. it delivers an unlimited number of shocks with the same amount of energy. d. its use does not require the presence of advanced life support personnel.
a nurse is caring for a young female adult client diagnosed with atrial fibrillation who has just had a mitral valve replacement. the client is being discharged with prescribed warfarin. the client mentions to the nurse that she relies on the rhythm method for birth control. what education will be a priority for the nurse to provide to this client?
the nurse is working the night shift in the er when an ambulance arrives carrying a man s/p motor vehicle accident (mva). his initial bp is 100/56 and the nurse notes that he is bleeding heavily from a laceration on the forehead. fifteen minutes later, the nurse reassesses the client and finds that his bp is 95/58. what iv fluid would the nurse expect to be ordered?
smallpox, caused by the variola major virus was possibly the first disease for which a vaccine was produced. one version of this process used a related disease, cowpox, as a source for the vaccine. the ability to use cowpox (vaccinia virus) to protect against smallpox demonstrates immunological specificity between the two viruses, which means choose one:
when caring for a patient experiencing excited delirium, the emt should remember that: a. sudden death can occur if the patient's violence is not controlled. b. lights and siren are effective in redirecting the patient's behavior. c. excited delirium is worsened by nervous system depressant drugs. d. most patients will have low blood pressure and hyperglycemia.
after assisting your patient with prescribed nitroglycerin, you should: a. avoid further dosing if the patient complains of a severe headache. b. place the patient in a recumbent position in case of fainting. c. reassess his or her blood pressure within 5 minutes to detect hypotension. d. perform a secondary assessment before administering further doses.
if a pregnant patient must be placed onto a backboard, you should: a. elevate the head of the board six inches to prevent breathing impairment. b. raise the foot of the board 12 inches in order to maintain blood pressure. c. place a folded towel behind her head to make it easier to breathe. d. elevate the right side of the board with rolled towels or blankets.
t: 37.0 rectal (c) faces: 0 p: 85 (regular) awake 100-180, sleeping 90-160 bpm legs: 0 r: 36 (regular) 30-53 bpm activity: 0 bp: 74/50 left leg systolic 72-104 mm/hg diastolic 37-56 mm/hg crying: 0 o2 sat: 98% on ra consolability: 0 what vs data are relevant and must be noticed as clinically significant by the nurse?
an older adult client has a complex medical history that includes heart failure, type 1 diabetes, and diabetic nephropathy. the nurse has questioned a health care provider's prescription for oral spironolactone because the client's health problems would contribute to a high risk of which adverse reaction?
treatment with continuous positive airway pressure (cpap) would most likely be contraindicated in which of the following situations? a. pulmonary edema, history of hypertension, and anxiety b. conscious and alert patient with an oxygen saturation of 85% c. difficulty breathing, two-word dyspnea, and tachycardia d. shortness of breath and a blood pressure of 76/56 mm hg
a client who gave birth by cesarean birth 3 days ago is bottle-feeding her neonate. while collecting data the nurse notes that vital signs are stable, the fundus is four fingerbreadths below the umbilicus, lochia are small and red, and the client reports discomfort in her breasts, which are hard and warm to touch. the best nursing intervention based on this data would be:
which of the following is characteristic of peptic ulcer disease (pud)? a. symptom relief after taking nonsteroidal anti-inflammatory drugs b. sharp pain that is typically located in both lower abdominal quadrants c. the passage of bright red blood in the stool or coughing up blood d. burning or gnawing stomach pain that subsides immediately after eating
a client with iron deficiency anemia has begun taking daily supplements of oral ferrous sulfate. the nurse should add what nursing diagnosis to the nursing care plan?
when caring for a patient with acute coronary syndrome who has returned to the coronary care unit afterhaving angioplasty with stent placement, the nurse obtains the following assessment data. which data indicatethe need for immediate action by the nurse?a.heart rate 102 beats/minb.pedal pulses 1 bilaterallyc.blood pressure 103/54 mm hgd.chest pain level 7 on a 0 to 10 point scal
