AS a home health nurse, you are obtaining an admission history for a client with a deep vein thrombosis and is taking warfarin (Coumadin) 2mg daily. Which statement by the client indicates the need for additional medication teaching?

Case Summary A 69-year-old male client is admitted to the medical-surgical unit for an evaluation of pain and edema of the right lower extremity. The onset of symptoms was 2 days prior to arrival. Client is diagnosed with a deep vein thrombosis requiring heparin therapy. The nurse on the medical-surgical unit is caring for a 69-year-old male client with pain and swelling of the right lower extremity.   Nurses’ Notes     Day 1. 0930 Admission note: Client admitted from the Emergency Department via stretcher and transferred to bed. Client is alert and oriented. Saline lock IV in the R antecubital vein patent. Right lower extremity noted to have 2+ pedal edema, pain 8/10 in right calf. Warmth noted to right calf. Positive Homan’s sign to R lower extremity noted. Client has positive motion and sensation to right lower extremity. Right pedal pulse weak, palpable. R lower extremity elevated on 2 pillows.  VS: BP 145/82, HR 96, RR 16, Temp 36.7C (98F). Client ordered to be on complete bedrest. Client made aware. 1010: Radiology called results of right leg ultrasound: Positive for deep vein thrombosis of the right posterior tibial vein. Provider made aware. New orders pending.   Nurses’ notes have been updated with most recent radiology results. Based on the above scenario, which interventions would be implemented for this patient’s plan of care?

A female client with Raynaud’s Disease visits the community clinic complaining of pain in the hands. What instructions will the nurse provide regarding this condition?

Which nursing action is most important in preventing cross contamination?

The nurse is caring for a client with a venous stasis ulcer. Wound cultures show evidence of methicillin resistant staphylococcus auresus (MRSA). The client is placed in contact precautions. What statement by the nurse indicates an understanding of the care of the client in contact precautions?

The nurse is caring for a client with cor pulmonale, or right-side heart failure.  What nursing assessment information correlates with an increase in venous pressure?

Which information, shown in the Chart below, about a client who just arrived in the emergency department is most urgent for the nurse to communicate to the health care provider?

A client is to receive an infusion of 250mL of platelets over 2 hours. the set calibration is 10 gtt/mL. What is the gtt/minite flow rate? Round your answer to the nearest whole number. Do not include gtt/min in your answer.

A client had a repair of an abdominal aneurysm 2 days ago. Which of the following will the nurse report immediately to the health care provider?

A nurse suspects the presence of an abdominal aortic aneurysm. What assessment data will the nurse correlate with a diagnosis of abdominal aortic aneurysm? Select all that apply.