Question 1

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?

Accepted Answer

A)  Use a standard safety razor for shaving. 
B)  Use a soft bristle toothbrush. 
C)  Have aggressive dental care immediately to prevent dental caries. 
D)  Do not eat fresh fruit. 
A)  Use a standard safety razor for shaving. 
B)  Use a soft bristle toothbrush. 
C)  Have aggressive dental care immediately to prevent dental caries. 
D)  Do not eat fresh fruit. B

Question 2

Which of the following patients would the nurse anticipate the collaborative treatment of regular phlebotomies?

Accepted Answer

A)  Hemophilia 
B)  Thrombocytopenia 
C)  Eosinophilia 
D)  Polycythemia 
A)  Hemophilia 
B)  Thrombocytopenia 
C)  Eosinophilia 
D)  Polycythemia D

Question 3

The nurse is making a home visit to a patient who was discharged from the hospital on Lovenox and warfarin following replacement of the patient's pacemaker.Which observation indicates excessive bleeding? (Select all that apply.)

Accepted Answer

A)  New ecchymosis on the abdomen 
B)  A nosebleed that does not stop with pressure 
C)  Pain of the lower extremity with flexion 
D)  Extreme fatigue 
E)  Pallor
F) Sudden onset of severe headache 
A)  New ecchymosis on the abdomen 
B)  A nosebleed that does not stop with pressure 
C)  Pain of the lower extremity with flexion 
D)  Extreme fatigue 
E)  Pallor
F) Sudden onset of severe headache A,B,D,E,F

Question 4

Which nursing observation would indicate that the nurse hold the medication warfarin (Coumadin)?

Accepted Answer

A)  An INR (international normalize ratio) 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 
A)  An INR (international normalize ratio) 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

Question 5

Which statement by a patient indicates additional teaching is required about the medication warfarin?

Accepted Answer

A)  "I will continue my diabetic diet and restrict sugar." 
B)  "I will increase the intake of green, leafy vegetables for a more healthful diet." 
C)  "I will restrict the intake of foods high in vitamin C." 
D)  "I will increase the amount of protein in my diet to protect my kidneys." 
A)  "I will continue my diabetic diet and restrict sugar." 
B)  "I will increase the intake of green, leafy vegetables for a more healthful diet." 
C)  "I will restrict the intake of foods high in vitamin C." 
D)  "I will increase the amount of protein in my diet to protect my kidneys."

Question 6

A patient states that his/her 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?

Accepted Answer

A)  Elevated 
B)  Crossed at the knee 
C)  Slightly bent with a pillow under the knees 
D)  Dependent position 
A)  Elevated 
B)  Crossed at the knee 
C)  Slightly bent with a pillow under the knees 
D)  Dependent position

Question 7

The nurse would expect to administer an anticoagulant to a patient following which surgery?

Accepted Answer

A)  Hip replacement 
B)  Hysterectomy 
C)  Abdominal aorta aneurism (AA
A)  repair 
D)  Appendectomy 
A)  Hip replacement 
B)  Hysterectomy 
C)  Abdominal aorta aneurism (AA
A)  repair 
D)  Appendectomy

Exam 17: Clotting

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?

Which of the following patients would the nurse anticipate the collaborative treatment of regular phlebotomies?

The nurse is making a home visit to a patient who was discharged from the hospital on Lovenox and warfarin following replacement of the patient's pacemaker.Which observation indicates excessive bleeding? (Select all that apply.)

Which nursing observation would indicate that the nurse hold the medication warfarin (Coumadin)?

Which statement by a patient indicates additional teaching is required about the medication warfarin?

A patient states that his/her 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?

The nurse would expect to administer an anticoagulant to a patient following which surgery?

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