Author Question: The nurse is making a home visit to a patient who was discharged from the hospital on Lovenox and ... (Read 45 times)

kwoodring · **on:** Jul 22, 2018

The nurse is making a home visit to a patient who was discharged from the hospital on Lovenox and warfarin following replacement of the patient's pacemaker. Which observation indicates excessive bleeding? (Select all that apply.)

a. New ecchymosis on the abdomen
b. A nosebleed that does not stop with pressure
c. Pain of the lower extremity with flexion
d. Extreme fatigue
e. Pallor
f. Sudden onset of severe headache

Question 2

A female college student is planning to become sexually active. She is considering birth control options and desires a method in which ovulation will be prevented.

To prevent ovulation while reaching 99 effectiveness in preventing pregnancy, which option should be given the strongest consideration?
a. Intrauterine device
b. Coitus interruptus
c. Natural family planning
d. Oral contraceptive pills

allisonblackmore · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: A, B, D, E, F
Excessive bleeding includes large bruises that may be increasing in size, nosebleeds, extreme fatigue from decreased tissue oxygenation due to decreased hemoglobin, and sudden onset of a severe headache, which may indicate a cerebral hemorrhage. Pain in the lower extremity may be a result of a deep vein thrombosis. Pain of the legs with flexion may be associated with venous thrombosis.

Answer to Question 2

ANS: D
Oral contraceptive pills prevent ovulation and are 99 effective in preventing pregnancy when taken as directed. Intrauterine devices, coitus interruptus, and natural family planning will not prevent ovulation while reaching 99 effectiveness in preventing pregnancy, so they are not recommended for this college student.