A nurse is caring for a child who has disseminated intravascular coagulation and is experiencing
epistaxis. Which of the following actions should the nurse take? - CORRECT ANSWER✅✅Insert cotton
into both of the Childs nostrils.
A nurse is reviewing a clients admission laboratory values. The client has thrombocytopenia with a
platelet count of 34,000/mm3. Which of the following actions should the nurse take? - CORRECT
ANSWER✅✅Apply pressure for 3 to 10 min following venipunctures.
A nurse is preparing to administer heparin subcutaneously to a client who has a deep vein thrombosis.
Which of the following actions should the nurse take? - CORRECT ANSWER✅✅Insert the needle at a
90º angle.
A nurse is caring for a client who has multiple myeloma and has a WBC count of 2,200/mm3. Which of
the following food items brought by the family should the nurse prohibit from being give to the client? -
CORRECT ANSWER✅✅Fresh fruit basket
A nurse is reinforcing teaching about immunizations with a women in her first trimester of pregnancy
who diagnostic testing indicates she does not have an immunity to rubella. The nurse should
recommend that the client receive a measles, mumps, rubella (MMR) vaccine at which of the following
times? - CORRECT ANSWER✅✅Prior to discharge from the hospital after giving birth.
A nurse is caring for a child who had idiopathic thrombocytopenia purpura and is experiencing a
nosebleed. Which of the following actions should the nurse take? - CORRECT ANSWER✅✅Insert cotton
into each of the Childs nostrils.
A nurse is preparing to administer heparin intravenously to a client. Which of the following actions
should the nurse take? - CORRECT ANSWER✅✅Obtain an infusion pump to regulate the continuous
flow of the medication.
A nurse is reinforcing teaching with a group of newly licensed nurses about preventing needle stick
injuries. Which of the following actions should the nurse recommend? - CORRECT ANSWER✅✅Place
uncapped needles in a puncture-proof container after use.
, A nurse in a providers office is collecting data from a client who reports a red rash on her face, fever,
weight loss and joint pain. The nurse should plan to prepare the client for which of the following
laboratory tests? - CORRECT ANSWER✅✅Antinuclear antibody(ANA) titer.
A nurse is preparing to administer heparin to a client. The nurse notices that the clients medical record
indicates that the client has already been receiving anticoagulation therapy at home. Which of the
following actions should the nurse take? - CORRECT ANSWER✅✅Clarify the prescription with the
provider.
A nurse is caring for a client who has been taking warfarin and has a prothrombin time of 30 seconds.
Which of the following medications should the nurse anticipate the provider to prescribe? - CORRECT
ANSWER✅✅Vitamin K
A nurse is reinforcing teaching with a client who is pregnant and has a prescription for Rho(D) immune
globulin. Which of the following informations should the nurse include? - CORRECT ANSWER✅✅This
medication prevents the formation of Rh antibodies by a woman who is Rh-negative.
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? -
CORRECT ANSWER✅✅Kale
A nurse is preparing a client for intradermal tuberculin skin testing(TST). Which of the following
statements should the nurse make? - CORRECT ANSWER✅✅"A positive result does not always indicate
active disease."
A nurse is caring for a client who comes to the clinic to be tested for tuberculosis(TB) after a close family
contact tests positive. Which of the following measure should the nurse anticipate preparing for this
client? - CORRECT ANSWER✅✅Tuberculin skin test
A nurse is caring for a client who requires contact precautions. Which of the following actions should the
nurse take? - CORRECT ANSWER✅✅Dedicate equipment and supplies for use with the client.
A nurse on a telemetry unit is reviewing laboratory results for a client who has atrial fibrillation and is
taking warfarin. Which of the following laboratory values should the nurse report to the provider? -
CORRECT ANSWER✅✅PT 45 seconds.