Utilizing the following information, what order(s) would the nurse expect? select all that apply Patient History and Physical / Labs Medications Vitals Signs 85 year old patient with a mental status change over the past 8 hours. Family states patient is normally alert and oriented. Patient is now aloof and oriented to person only. Patient complains of nausea. Hgb 9.2 Hct 32 WBC 7,000 Platelets 144,000 K+ 4.1 Na+ 140 INR 5.1 RBC 3.3 Metoprolol 100mg po daily Warfarin Sodium 2.5mg po hs Vitamin C 500mg po daily EC ASA 81mg po daily Lisinopril 20mg po daily BP 166/86 HR 88 bpm RR 16 per minute O2 sat 96% on room air Temp 99.1 F (oral)
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Following change-of-shift report, a nurse enters the room o…
Following change-of-shift report, a nurse enters the room of a client who is receiving packed RBCs. Which of the following findings should the nurse identify as appropriate for blood product transfusion?
The nurse caring for a patient in the emergency room with su…
The nurse caring for a patient in the emergency room with suspected internal injuries will assess for hypovolemic shock, which is evidenced by (select all that apply):
The client returns to the clinic 3 weeks after his last chem…
The client returns to the clinic 3 weeks after his last chemotherapy treatment. While reviewing his labs, the nurse notes the following: WBC 4,900 HCT 48% BNP 150 Thrombocytes 75,000. Which of the following interventions is priority?
The nurse is caring for a client who has a severe, chronic,…
The nurse is caring for a client who has a severe, chronic, incurable condition that occurs in people homozygous for Hb-S. The nurse understands that the client with this condition is typically asymptomatic except during painful episodes. The nurse understands the factors that can precipitate a crisis include: Select all that apply.
A nurse in a clinic is reviewing teaching about food choices…
A nurse in a clinic is reviewing teaching about food choices with a client who has recently begun taking warfarin. The nurse should instruct the client to limit consumption of which of the following foods?
A nurse is contributing to the care plan of a client who is…
A nurse is contributing to the care plan of a client who is postoperative and has an increased risk for deep vein thrombosis (DVT). Which of the following interventions should the nurse include in the plan? (Select all that apply.)
A nurse is reinforcing teaching about pernicious anemia wit…
A nurse is reinforcing teaching about pernicious anemia with a client following a total gastrectomy. Which of the following dietary supplements should the nurse include in the teaching as the treatment for pernicious anemia?
A nurse is reviewing laboratory values of a client who has i…
A nurse is reviewing laboratory values of a client who has immune thrombocytopenic purpura (ITP). Which of the following laboratory results should the nurse expect to be decreased?
The nurse caring for a child with hemophilia who is hospita…
The nurse caring for a child with hemophilia who is hospitalized with hemarthrosis should include which of the following in the plan of care?