A patient who developed a deep vein thrombosis (DVT) is being treated with unfractionated heparin. The hospital's protocol for this treatment specifies analysis of the patient's activated partial thromboplastin time (aPTT) every 6 hours.
When reviewing the patient's aPTT levels, the nurse should be aware that the desired levels for this patient will be:
A) 60 to 70 of the normal reference range
B) Slightly below or equal to the normal reference range
C) Within normal reference range
D) 1.5 to 2.5 times the normal reference range
Question 2Which nursing intervention will ensure that the nurse will provide culturally competent healthcare to an older patient?
1. Speak the patient's primary language.
2. Use standardized assessment instruments in health evaluations.
3. Approach patients of a particular ethnic group in the same manner.
4. Know prevalence, incidence, and risk factors for diseases specific to different ethnic groups.
Question 3An obese patient with a history of smoking and hypertension underwent a coronary artery bypass graft for the treatment of coronary artery disease. During the patient's postoperative recovery, he developed a DVT.
The development of this event was a result of the interaction between which of the following pathophysiological phenomena? Select all that apply.
A) Stasis of blood resulting from immobility and surgery
B) Injury to one or more of the patient's vessel walls
C) Cardiac stress resulting from surgery
D) Alterations in the normal process of coagulation
E) The presence of an inflammatory process
Question 4All of the following are considered IADLs except:
a. toileting
b. balancing the checkbook
c. using the phone
d. shopping
Question 5A recently hired graduate nurse questions her preceptor about the demographics on the unit. The preceptor reports that the clients and their diagnoses are consistent with nationwide demographics.
Based upon your understanding, which of the following statements best supports this?
A) The African American clients have a lower incidence of hypertension than the Caucasian clients.
B) The Hispanic clients have a greater incidence of obesity than the Caucasian clients.
C) Diabetes is not a significant problem in the African American community.
D) The female clients with chronic disorders are more self-sufficient than men with similar ailments.
Question 6The nurse wishes to obtain basic certification in the specialty of gerontological nursing. Which of the following is true about this credential?
a) there is an experience requirement
b) one must pass an exam
c) one must have a BSN
d) a and b only
Question 7Which of the following visual changes is not usually associated with normal aging?
a. presbyopia
b. yellowing of the lens
c. night blindness
d. decreased accommodation
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