Nokea
A patient with a history of deep vein thrombosis (DVT) is prescribed warfarin therapy. Which instruction is essential for the nurse to include in patient education about warfarin therapy?
- A. "Limit your intake of green leafy vegetables."
- B. "Avoid activities that may increase your risk of bleeding."
- C. "Take a double dose if you miss a dose to catch up."
- D. "Report any unusual bleeding or bruising to your healthcare provider."
Correct Answer: D
Rationale: It is essential for the nurse to instruct the patient to "Report any unusual bleeding or bruising to your healthcare provider." Warfarin is a medication that works by decreasing the clotting ability of the blood. This can increase the risk of bleeding, so it is important for the patient to be vigilant for any signs of abnormal bleeding. Prompt reporting of any unusual bleeding or bruising allows healthcare providers to adjust the dosage of warfarin to maintain a balance between preventing blood clots and minimizing the risk of bleeding complications. This instruction emphasizes the importance of close monitoring and communication with healthcare providers while on warfarin therapy.
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Should the nurse encounter patients who are stressed due to their health condition, the BEST way to communicate is through which one of the following?
- A. Sympathizing
- B. Sharing
- C. Empathizing
- D. Listening
Correct Answer: C
Rationale: When encountering patients who are stressed due to their health condition, the best way for a nurse to communicate is through empathizing. Empathy involves understanding and sharing the feelings of another person, which can help the nurse connect with the patient on an emotional level. Empathizing allows the nurse to show genuine care and concern for the patient's well-being, fostering a trusting and supportive relationship. This approach can help alleviate the patient's stress and make them feel understood and supported during a difficult time. Sympathizing and sharing may come across as insincere or minimize the patient's experiences, while listening is important but combining it with empathy enhances the overall communication experience.
Which medication will be prescribed to control and maintain the blood pressue of patients at normal level?
- A. Lidocaine
- B. Amlodipine
- C. Epinephrine
- D. Furosemide
Correct Answer: B
Rationale: Amlodipine is a medication commonly prescribed to control and maintain blood pressure at normal levels. It belongs to a class of drugs known as calcium channel blockers, which work by relaxing and widening blood vessels, making it easier for the heart to pump blood around the body. This ultimately helps to lower blood pressure and reduce the workload on the heart, decreasing the risk of cardiovascular events like heart attacks and strokes. Lidocaine, Epinephrine, and Furosemide are not typically used for controlling and maintaining blood pressure within normal limits.
Nurse bea wants to pursue higher education in Nursing for her career advancement. Aside from enrolling in graduate school, which of the following she could enhance her career?
- A. Participates in professional organization
- B. Attends seminars.
- C. Conduct research
- D. Attends symposium
Correct Answer: A
Rationale: Participating in professional organizations can be a valuable way for Nurse Bea to enhance her career in nursing aside from enrolling in graduate school. Professional organizations provide networking opportunities, access to resources and information, opportunities for professional development through workshops and conferences, and a platform for engaging in advocacy efforts to promote the nursing profession. By being an active member of a professional organization, Nurse Bea can further her knowledge, skills, and connections within the nursing field, which can contribute to her career advancement.
Which of the following is NOT included among the factors that should be considered by the nurse or the pregnant woman in interpreting results of pregnancy test?
- A. Last menstrual period
- B. Type of pregnancy test
- C. Previous pregnancy
- D. Menstrual cycle length
Correct Answer: B
Rationale: The type of pregnancy test is not a factor that should be considered by the nurse or the pregnant woman in interpreting the results of a pregnancy test. Factors such as the last menstrual period, previous pregnancy history, and menstrual cycle length play a crucial role in determining the reliability and accuracy of the pregnancy test results.
If more than one vaccine is given, the following guidelines should be observed, EXCEPT.
- A. Do not give more than one dose of the same vaccine in one session.
- B. Do not use the same arm or leg for more than one injection.
- C. Give doses of the same vaccine at the correct intervals.
- D. Use the same syringe and needle in administering two vaccines.
Correct Answer: D
Rationale: It is NOT recommended to use the same syringe and needle in administering two different vaccines. This is to prevent contamination or mixing of different vaccines, which could potentially affect their effectiveness or pose a risk to the individual receiving the vaccines. It is important to use separate syringes and needles for each vaccine to ensure proper administration and prevent any adverse reactions.