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What is the primary purpose of a platelet count?
- A. Assessing clot formation potential
- B. Assessing bleeding risk
- C. Detecting antigen-antibody response
- D. Identifying cardiac enzymes presence
Correct Answer: B
Rationale: A platelet count is primarily used to assess the risk of bleeding. Platelets play a crucial role in blood clotting, so a low platelet count can lead to an increased risk of bleeding. Monitoring platelet levels helps healthcare providers evaluate a patient's ability to form clots and manage bleeding.
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Which of the following parameters should be checked when assessing respirations?
- A. Rate
- B. Rhythm
- C. Symmetry
- D. All of the above
Correct Answer: D
Rationale: When assessing respirations, it is essential to evaluate the rate at which breaths are taken, the rhythm of breathing patterns, and the symmetry of chest expansion. Each of these parameters provides valuable information about a person's respiratory status. Therefore, it is important to assess all of the listed parameters to have a comprehensive understanding of the individual's respiratory function.
For abdominal inspection, in which of the following positions should a patient be placed?
- A. Prone
- B. Trendelenburg
- C. Supine
- D. Side-lying
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which of the following principles of primary nursing has proven the most satisfying to the patient and nurse?
- A. Administer oxygen by Venturi mask at 24% as needed
- B. Allow a 1-hour rest period between activities
- C. Patients and nurses both respond well to primary nursing care units
- D. Studies have shown that patients and nurses both respond well to primary nursing care units
Correct Answer: C
Rationale: Primary nursing care units have been proven to be highly satisfying for both patients and nurses. This model promotes a consistent and continuous relationship between a patient and a primary nurse, leading to improved communication, personalized care, and overall satisfaction for both parties involved.
Which of the following patients is at greater risk for contracting an infection?
- A. A patient with leukopenia
- B. A patient receiving broad-spectrum antibiotics
- C. A postoperative patient who has undergone orthopedic surgery
- D. A newly diagnosed diabetic patient
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The physician orders a maintenance dose of 5,000 units of subcutaneous heparin (an anticoagulant) daily. Nursing responsibilities for Mrs. Mitchell now include:
- A. Reviewing daily activated partial thromboplastin time (APTT) and prothrombin time.
- B. Reporting an APTT above 45 seconds to the physician
- C. Assessing the patient for signs and symptoms of frank and occult bleeding
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D. When a physician orders a maintenance dose of subcutaneous heparin, nursing responsibilities include reviewing daily activated partial thromboplastin time (APTT) and prothrombin time to monitor the patient's coagulation status, reporting an APTT above 45 seconds to the physician as it may indicate a risk of bleeding, and assessing the patient for signs and symptoms of frank and occult bleeding, which are potential adverse effects of anticoagulant therapy. Therefore, all the options listed are essential nursing responsibilities when a patient is on subcutaneous heparin therapy.