A nurse is assessing a client who is taking warfarin. Which of the following findings should the nurse identify as the priority to report to the provider?

Fever

Abdominal cramping

Hair loss

Melena

Answer and Explanation

The Correct Answer is D

Melena means that the stool has a dark discoloration. This is a sign of gastrointestinal bleeding and should be reported immediately as it can be a serious complication of warfarin therapy.

A,B,C- Are not related to use of warfarin

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Correct Answer is D

Explanation

This group of individuals is not typically contraindicated for the varicella vaccine. In fact, older adults who have not been previously vaccinated or have not had chickenpox are often encouraged to receive the vaccine.

The varicella vaccine is produced using embryonated chicken eggs. Individuals with a severe allergy to eggs (such as anaphylaxis) should avoid this vaccine. However, most people with mild egg allergies can safely receive it. A healthcare provider should assess the severity of the egg allergy before making a decision.

There is no known contraindication between the varicella vaccine and the human papillomavirus (HPV) vaccine. These vaccines target different infections and can be administered independently.

Individuals with advanced immunosuppression, including those with AIDS, should not receive the varicella vaccine. Their weakened immune system may not respond effectively to the vaccine, and there is a risk of disseminated varicella infection.

A. Inject air into the vial to withdraw the short-acting insulin. B. Administer the insulin within 20 min of preparing it. C. Ensure the NPH insulin is drawn into the syringe first. D. use two separate syringes to mix the insulin.

Correct Answer is A

Explanation

A-Injection of air ensures that the accurate dose is withdrawn into the syringe

B-It is not necessary to administer within 20 min, it should, however, be administered within 24 hours.

C-Short-acting insulin should be drawn first to ensure that the short-acting insulin is not contaminated with the long-acting or intermediate one.

D- Insulin types can be mixed in the same syringe, provided the short-acting insulin is drawn up first.

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A nurse is assessing a client who is taking warfarin. Which of the following findings should the nurse identify as the priority to report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer the varicella vaccine to a group of clients. The nurse should identify which of the following clients as having a contraindication for receiving this immunization?

Correct Answer is D

Explanation

A nurse is preparing to mix short-acting insulin with NPH insulin from two vials. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A home care nurse is teaching a client about safe medication disposal. Which of the following instructions should the nurse include?

A nurse is caring for a client who has a prescription for nifedipine. Which of the following findings should the nurse assess prior to administration of the medication?

A nurse is preparing to administer heparin subcutaneously to a client. Which of the following actions should the nurse plan to take to minimize bleeding following the injection?

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A nurse is preparing to administer total parenteral nutrition to a client. Which of the following actions should the nurse take?

A nurse is assessing a client with hypertension who is receiving propranolol. Which of the following findings requires the nurse's intervention?