题目内容

Which of the following laboratory tests should be monitored closely by the nurse while the client is receiving heparin therapy

A. International normalized ratio (INR).
B. Activated partial thromboplastin time (APTT).
C. Prothrombin time (PT).
D. Thrombin tim

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The nurse is interviewing a client who is currently under the influence of a controlled substance and shows signs of becoming agitated. Which measure should the nurse take first when caring for this client

A. Be aware of hospital security.
B. Communicate a scolding attitude to intimidate the client.
C. Use confrontation.
D. Express disgust with the client’s behavior.

The nurse is teaching a new mental health aide. For which of the following clients is setting limits most important

A depressed client.
B. A manic client.
C. A suicidal client.
D. An anxious client.

Assessment of a client in active labor reveals meconium-stained amniotic fluid and fetal heart sounds in the upper right quadrant. Which of the following is the most likely cause of this situation

A. Breech position.
B. Late decelerations.
C. Entrance into the second stage of labor.
D. Multiple gestation.

A woman tells the nurse that her 6-year-old daughter has severe nosebleeds. Which of the following instructions should the nurse give this woman to manage nosebleeds

A. Help the child assume a comfortable position with her head tilted backward.
B. Tilt the child’s head backward and place firm pressure on the nose.
C. Help the child lie on her stomach and collect the blood on a clean towel.
D. Place the child in a sitting position with her neck bent forward and apply firm pressure on the nasal septum.

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