Author Question: A nurse manager is making nurse assignments for care of clients who have just received thrombolytic ... (Read 93 times)

MirandaLo · **on:** Jul 23, 2018

A nurse manager is making nurse assignments for care of clients who have just received thrombolytic therapy. The nurse specifically tells a new nurse, Be certain to hold pressure on any puncture sites for at least ____ minutes.

Standard Text: Record your answer using a whole number.
Fill in the blank with the appropriate word.

Question 2

The nurse is providing discharge teaching regarding anticoagulant therapy. Which statements by the client would the nurse evaluate as indicating the need for further instruction?

Standard Text: Select all that apply.
1. I'll ask for an electric razor for my birthday next week.
2. I guess my trip to the amusement park is off for now.
3. I won't be able to cook anymore.
4. I'll get one of those new electric toothbrushes with the firm bristles.
5. I should make an appointment for a B12 injection monthly.

ASDFGJLO · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 30
Rationale: Thrombolytic therapy increases the risk of bleeding from any invasive procedure. Pressure should be held on any puncture site for a minimum of 30 minutes.
Global Rationale: Thrombolytic therapy increases the risk of bleeding from any invasive procedure. Pressure should be held on any puncture site for a minimum of 30 minutes.

Answer to Question 2

Correct Answer: 3,4,5
Rationale 1: Use of an electric razor is preferred for clients on anticoagulant therapy.
Rationale 2: The client should avoid situations in which jostling or violent bumping could occur.
Rationale 3: The client should be cautious when cutting food for preparation, but cooking is not prohibited.
Rationale 4: The client should use a soft-bristle toothbrush.
Rationale 5: IM injections should be avoided.
Global Rationale: The client should be cautious when cutting food for preparation, but cooking is not prohibited. The client should use a soft-bristle toothbrush. IM injections should be avoided. Use of an electric razor is preferred for clients on anticoagulant therapy. The client should avoid situations in which jostling or violent bumping could occur.