Nokea
The nurse should teach the client who is receiving warfarin sodium that:
- A. Partial thromboplastin time values determine the dosage of warfarin sodium.
- B. Protamine sulfate is used to reverse the effects of warfarin sodium.
- C. International Normalized Ratio (INR) is used to assess effectiveness.
- D. Warfarin sodium will facilitate clotting of the blood.
Correct Answer: C
Rationale: INR monitors warfarin's anticoagulant effectiveness, guiding dosage adjustments to prevent clotting or bleeding.
You may also like to solve these questions
In which of the following clients is an autotransfusion contraindicated?
- A. The client who has cancer.
- B. The client who is in danger of cardiac arrest.
- C. The client with a contaminated wound.
- D. The client with a ruptured bowel.
Correct Answer: A,C,D
Rationale: Autotransfusion is contraindicated in cancer (risk of spreading malignant cells), contaminated wounds, or ruptured bowel (risk of infection or bacterial spread). It may be used cautiously in cardiac arrest if no other contraindications exist.
The client tells the preoperative nurse that she cannot hear without her hearing aid and asks to wear it to surgery and recovery. What is the nurse's best response?
- A. Explain to the client that it is policy not to take personal items to surgery because they may be lost or broken.
- B. Tell the client that she will bring the hearing aid to the postanesthesia care unit so that she can have it as soon as she wakes up.
- C. Explain to the client that she will have a premedication that will make her sleep before she goes to surgery and she won't need to hear.
- D. Call the surgery unit to explain the client's concern and ask if she can wear her hearing aid to surgery.
Correct Answer: D
Rationale: Calling the surgery unit to discuss the client's need for a hearing aid ensures her communication needs are addressed while adhering to surgical safety protocols. This action balances patient advocacy with policy considerations.
A client with diabetes mellitus asks the nurse to recommend something to remove corns from his toes. The nurse should advise the client to:
- A. Apply a high-quality corn plaster to the area.
- B. Consult a physician or podiatrist about removing the corns.
- C. Apply iodine to the corns before peeling them off.
- D. Soak the feet in borax solution to peel off the corns.
Correct Answer: B
Rationale: Corns should be professionally removed by a physician or podiatrist to avoid injury or infection, especially in diabetic clients with poor healing.
Which of the following lifestyle modifications should the nurse encourage the client with a hiatal hernia to include in activities of daily living?
- A. Daily aerobic exercise.
- B. Eliminating smoking and alcohol use.
- C. Balancing activity and rest.
- D. Avoiding high-stress situations.
Correct Answer: B
Rationale: Eliminating smoking and alcohol is critical for managing hiatal hernia, as both can relax the lower esophageal sphincter and worsen reflux.
The nurse conducts a review course on older adults and medication elimination/excretion. It would be appropriate for the nurse to note which factor may impact drug elimination? Select all that apply.
- A. Diminished glomerular filtration
- B. Decreased hepatic enzyme functioning
- C. Decreased peristalsis
- D. Lower pH of the gastric secretions
- E. Increased acidity of the gastric secretions
- F. Low functioning nephrons
Correct Answer: A,B,F
Rationale: Diminished glomerular filtration, decreased hepatic function, and low-functioning nephrons impair drug elimination in older adults.