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Questions and Answers
What vital sign finding in the postoperative client on demand-dose hydromorphone via a PCA pump would be most concerning for the nurse?
What vital sign finding in the postoperative client on demand-dose hydromorphone via a PCA pump would be most concerning for the nurse?
What is the most appropriate action for the nurse caring for the drowsy postoperative client on demand-dose hydromorphone via a PCA pump?
What is the most appropriate action for the nurse caring for the drowsy postoperative client on demand-dose hydromorphone via a PCA pump?
What is the most likely cause for the hemoglobin level of 10.8 g/dL in the client's history?
What is the most likely cause for the hemoglobin level of 10.8 g/dL in the client's history?
Why would a nurse place a client with peptic ulcer disease and prior upper gastrointestinal bleeding on bleeding precautions?
Why would a nurse place a client with peptic ulcer disease and prior upper gastrointestinal bleeding on bleeding precautions?
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If a client with peptic ulcer disease and previous upper gastrointestinal bleeding has a platelet count of 300,000 mm3, what is the expected nurse's action?
If a client with peptic ulcer disease and previous upper gastrointestinal bleeding has a platelet count of 300,000 mm3, what is the expected nurse's action?
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In a client on demand-dose hydromorphone via PCA pump, what is the most concerning sign of respiratory depression?
In a client on demand-dose hydromorphone via PCA pump, what is the most concerning sign of respiratory depression?
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What does the glycosylated hemoglobin A1c test measure?
What does the glycosylated hemoglobin A1c test measure?
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How long do red blood cells typically live for?
How long do red blood cells typically live for?
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What does an elevated glycosylated hemoglobin A1c level indicate?
What does an elevated glycosylated hemoglobin A1c level indicate?
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What is the normal reference range for glycosylated hemoglobin A1c?
What is the normal reference range for glycosylated hemoglobin A1c?
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What health problem is the glycosylated hemoglobin A1c test particularly useful in identifying?
What health problem is the glycosylated hemoglobin A1c test particularly useful in identifying?
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What is the main concern when a client is taking ibuprofen concurrently with a calcium channel blocker?
What is the main concern when a client is taking ibuprofen concurrently with a calcium channel blocker?
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Why should ibuprofen not be combined with anticoagulants?
Why should ibuprofen not be combined with anticoagulants?
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Which adverse effect may occur if ibuprofen is taken with antidiabetic agents?
Which adverse effect may occur if ibuprofen is taken with antidiabetic agents?
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Why should NSAIDs not be combined with calcium channel blockers?
Why should NSAIDs not be combined with calcium channel blockers?
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What should be considered when combining ibuprofen with antilipemic medications?
What should be considered when combining ibuprofen with antilipemic medications?
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Which action is recommended when a client is taking ibuprofen and a calcium channel blocker together?
Which action is recommended when a client is taking ibuprofen and a calcium channel blocker together?
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What is the primary concern with opioid analgesics according to the text?
What is the primary concern with opioid analgesics according to the text?
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What would the nurse suspect based on assessment findings in case of opioid overdose?
What would the nurse suspect based on assessment findings in case of opioid overdose?
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Which laboratory test monitors the effects of heparin therapy?
Which laboratory test monitors the effects of heparin therapy?
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In the context provided, what actions would not be implemented until PT and INR levels were known?
In the context provided, what actions would not be implemented until PT and INR levels were known?
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For a client who has taken an excessive dose of warfarin, what would be the focus according to the text?
For a client who has taken an excessive dose of warfarin, what would be the focus according to the text?
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What would be the first action that a nurse would take in case of suspected opioid overdose?
What would be the first action that a nurse would take in case of suspected opioid overdose?
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What is the platelet count of 300,000 mm3 (300 × 10^9/L) considered to be?
What is the platelet count of 300,000 mm3 (300 × 10^9/L) considered to be?
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Based on the text, what precautions are NOT needed for a platelet count of 300,000 mm3 (300 × 10^9/L)?
Based on the text, what precautions are NOT needed for a platelet count of 300,000 mm3 (300 × 10^9/L)?
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What is the appropriate nursing action for a platelet count of 300,000 mm3 (300 × 10^9/L)?
What is the appropriate nursing action for a platelet count of 300,000 mm3 (300 × 10^9/L)?
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What is the level of cognitive ability required when interpreting a platelet count of 300,000 mm3 (300 × 10^9/L)?
What is the level of cognitive ability required when interpreting a platelet count of 300,000 mm3 (300 × 10^9/L)?
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Which nursing process is primarily involved in managing a patient with a platelet count of 300,000 mm3 (300 × 10^9/L)?
Which nursing process is primarily involved in managing a patient with a platelet count of 300,000 mm3 (300 × 10^9/L)?
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What does a BUN level of 3 mg/dL (1.08 mmol/L) indicate?
What does a BUN level of 3 mg/dL (1.08 mmol/L) indicate?
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Which temperature measurement method should be avoided for a client with nasal congestion?
Which temperature measurement method should be avoided for a client with nasal congestion?
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Why should other less invasive temperature measurement methods be preferred over rectal temperature?
Why should other less invasive temperature measurement methods be preferred over rectal temperature?
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In a client who has undergone nasal surgery, which temperature measurement method is appropriate?
In a client who has undergone nasal surgery, which temperature measurement method is appropriate?
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What is the significance of avoiding oral temperature measurement in clients with nasal congestion?
What is the significance of avoiding oral temperature measurement in clients with nasal congestion?
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When other methods are unavailable, what is an acceptable alternative to measuring body temperature?
When other methods are unavailable, what is an acceptable alternative to measuring body temperature?
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What is the normal range for aPTT?
What is the normal range for aPTT?
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What is the therapeutic range of aPTT when on heparin therapy?
What is the therapeutic range of aPTT when on heparin therapy?
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Why should nasal congestion be avoided when taking an oral temperature?
Why should nasal congestion be avoided when taking an oral temperature?
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In what scenario would measuring temperature on the neck behind the ear be acceptable?
In what scenario would measuring temperature on the neck behind the ear be acceptable?
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What action should be taken if a client has a platelet count of 300,000 mm3?
What action should be taken if a client has a platelet count of 300,000 mm3?
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What is a critical reason for avoiding axillary temperature measurement?
What is a critical reason for avoiding axillary temperature measurement?
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What WBC count range indicates a decrease in the number of circulating WBCs and may lead to the implementation of neutropenic precautions?
What WBC count range indicates a decrease in the number of circulating WBCs and may lead to the implementation of neutropenic precautions?
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Which of the following is a critical value that may trigger the implementation of neutropenic precautions in a client?
Which of the following is a critical value that may trigger the implementation of neutropenic precautions in a client?
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What laboratory values would the nurse plan to assess in a client to determine anticoagulation status and risk for bleeding?
What laboratory values would the nurse plan to assess in a client to determine anticoagulation status and risk for bleeding?
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What cognitive skill is primarily involved in determining when to implement neutropenic precautions?
What cognitive skill is primarily involved in determining when to implement neutropenic precautions?
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What is the primary concern when the nurse plans to draw a sample for PT and INR levels in a client?
What is the primary concern when the nurse plans to draw a sample for PT and INR levels in a client?
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Which concept is most relevant when planning to draw lab samples for PT and INR levels in a client?
Which concept is most relevant when planning to draw lab samples for PT and INR levels in a client?
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Which of the following laboratory values are abnormal based on the information provided?
Which of the following laboratory values are abnormal based on the information provided?
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What is the significance of a low segmented neutrophil level in a patient's laboratory results?
What is the significance of a low segmented neutrophil level in a patient's laboratory results?
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Why is it important for healthcare providers to know the normal values of various blood studies mentioned in the text?
Why is it important for healthcare providers to know the normal values of various blood studies mentioned in the text?
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What action should be taken regarding a patient's medications if they are on anticoagulants and present with low platelet levels?
What action should be taken regarding a patient's medications if they are on anticoagulants and present with low platelet levels?
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Which medication combination should be avoided to prevent hypoglycemia in a patient taking ibuprofen?
Which medication combination should be avoided to prevent hypoglycemia in a patient taking ibuprofen?
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How does the presence of high sodium levels impact a patient's health status?
How does the presence of high sodium levels impact a patient's health status?
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What is the rationale for not placing a client with a platelet count of 300,000 mm3 on bleeding precautions?
What is the rationale for not placing a client with a platelet count of 300,000 mm3 on bleeding precautions?
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What should a nurse do if a client has a platelet count of 300,000 mm3 (300 × 10^9/L) based on the text?
What should a nurse do if a client has a platelet count of 300,000 mm3 (300 × 10^9/L) based on the text?
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What nursing action would be appropriate for a client with a platelet count of 300,000 mm3 (300 × 10^9/L)?
What nursing action would be appropriate for a client with a platelet count of 300,000 mm3 (300 × 10^9/L)?
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Which statement reflects the correct understanding of a platelet count of 300,000 mm3?
Which statement reflects the correct understanding of a platelet count of 300,000 mm3?
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What precaution is NOT necessary for a client with a platelet count of 300,000 mm3?
What precaution is NOT necessary for a client with a platelet count of 300,000 mm3?
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Study Notes
Laboratory Tests
- A platelet count of 300,000 mm3 (300 × 109/L) is not an elevated count and is also not low, therefore, bleeding precautions are not needed.
- Glycosylated hemoglobin A1c measures the amount of glucose that has become permanently bound to the red blood cells from circulating glucose, and is useful in identifying clients who have periods of hyperglycemia that are undetected in other ways.
- The normal reference range for glycosylated hemoglobin A1c is less than 5.7%, and elevations indicate continued need for teaching related to the prevention of hyperglycemic episodes.
- The estimated average glucose for a glycosylated hemoglobin A1c of 8% is 183 mg/dL (10.1 mmol/L).
Nursing Process
- When planning care, the nurse should focus on the subject of the question and recall the normal range for the laboratory test to direct them to the correct option.
- When implementing care, the nurse should prioritize the client's needs, such as arousing the client suspected of opioid overdose, and then reassessing the vital signs.
Vital Signs
- When measuring temperature, the nurse should avoid taking an oral temperature if the client has nasal congestion, and instead use other methods such as rectal or axillary temperature measurement.
Medication Administration
- NSAIDs can amplify the effects of anticoagulants, and therefore, should not be taken together.
- Hypoglycemia may result if the client taking ibuprofen is concurrently taking an oral antidiabetic agent, and these medications should not be combined.
Client Education
- The nurse should educate clients on the prevention of hyperglycemic episodes and provide teaching related to anticoagulation therapy.
Health Problems
- Clients with peptic ulcer disease and a history of upper gastrointestinal bleeding may have a normal platelet count, but still require monitoring and care.
- Clients with diabetes may have elevated glycosylated hemoglobin A1c levels, indicating a need for further education and prevention of hyperglycemic episodes.
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Description
Test your knowledge on postoperative care scenarios commonly encountered by nurses. Includes questions on pain management with patient-controlled analgesia pumps, vital sign assessment, and monitoring of activated partial thromboplastin time (aPTT) levels. Get ready to enhance your nursing skills with this quiz!
