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Nursing Exam 2
Clotting
| Question | Answer |
|---|---|
| Which nursing observation would indicate that the nurse hold the medication warfarin (Coumadin)? a) An INR of 1.8 b) An INR of 4.8 c) A partial thromboplastin time (APTT) level of 25 seconds d) An APTT level of 35 seconds | b) An INR of 4.8 |
| Which statement by a patient indicates additional teaching is required about the medication warfarin? a) "I will continue my diabetic diet and restrict sugar." b) "I will restrict the intake of foods high in vitamin C." c) "I will increase the intake o | c) "I will increase the intake of green, leafy vegetables for a more healthful diet." |
| A patient states that his legs have pain with walking that decreases with rest. The nurse observes absence of hair on the patient's lower leg and the patient has a thready, posterior tibial pulse. How would the nurse position the patient's legs? a) Eleva | c) Dependent position |
| The nurse would expect to administer an anticoagulant to a patient following which surgey? a) Hip replacement b) Hysterectomy c) Abdominal aorta aneurism (AAA) repair d) Appendectomy | a) Hip replacement |
| A patient on a medical surgical unit has a platelet count of 90,000 per mm3. The nurse knows to include which of the following precautions in discharge instructions? a) Use a soft bristle toothbrush b) Have aggressive dental care immediately to prevent | a) Use a soft bristle toothbrush |
| The nurse would anticipate that which of the following patient conditions will be treated with the collaborative treatment of regular phlebotomies? a) Hemophilia b) Polycythemia c) Thrombocytopenia d) Eosinophilia | c) Thrombocytopenia |
| Which test would be of value when added to more accurate diagnostic procedures for detection of DVT? a) McRoberts Maneuver b) Rovsing's Sign c) Babinski's Sign d) Homan's Sign | d) Homan's Sign |
| An infant with tetralogy of Fallot becomes cyanotic. Which nursing intervention would be the first priority? a) Raise the head of the bed b) Place the infant in the knee-chest position c) Start an IV for fluids d) Prepare the infant for surgery | b) Place the infant in the knee-chest position |
| The nurse assessing a client with chronic obstructive pulmonary disease (COPD) suspects chronic hypoxia based on which assessment finding? a) Edema b) Cyanosis c) Frequent urination d) Clubbing fingers | d) Clubbing fingers |
| A nurse is teaching a client newly diagnosed with arterial insufficiency. Which term should the nurse use to refer to leg pain that occurs when the client is walking? a) Intermittent claudication b) Dyspnea c) Orthopnea d) Thromboangitis obliterans | a) Intermittent claudication |
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salinarenteria
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