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Question 1
Free
Multiple Choice

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

Choose correct answer/s
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

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Question 2
Free
Multiple Choice

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

Choose correct answer/s
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."

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Question 3
Free
Multiple Choice

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?

Choose correct answer/s
A

Elevated

B

Crossed at the knee

C

Slightly bent with a pillow under the knees

D

Dependent position

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Question 4
Free
Multiple Choice

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

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A

Hip replacement

B

Hysterectomy

C

Abdominal aorta aneurism (AAA) repair

D

Appendectomy

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Question 5
Free
Multiple Choice

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?

Choose correct answer/s
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.

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Question 6
Multiple Choice

The nurse would anticipate that which of the following patient conditions will be treated with the collaborative treatment of regular phlebotomies?

Choose correct answer/s
A
Hemophilia
B
Thrombocytopenia
C
Eosinophilia
D
Polycythemia
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Question 7
Multiple Choice

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.)

Choose correct answer/s
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
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