Sarah, a 68-year-old female who is on anticoagulant therapy for atrial fibrillation, presents with a contusion on her forearm after a fall. Which two combined assessments should the nurse prioritize in Sarah's care?

Administer acetaminophen and check for skin abrasions.

Check the patient's platelet count and evaluate Prothrombin Time (PT) and International Normalized Ratio (INR).

Apply ice and use a compression bandage.

Administer acetaminophen and apply heat.

Answer and Explanation

The Correct Answer is B

A.   While pain management and assessing for skin injuries are important, prioritizing assessments related to bleeding risk due to anticoagulant therapy is crucial.
B.   These assessments help evaluate Sarah's coagulation status and bleeding risk, given her anticoagulant therapy and recent injury.

C.   While these interventions may help manage swelling and pain, they do not directly address Sarah's increased bleeding risk.
D.   Heat application may increase bleeding risk, and acetaminophen alone may not address potential bleeding complications.

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Correct Answer is ["A","D"]

Explanation

A. As Jack will likely have a stoma after the partial laryngectomy, educating him on stoma care is crucial preoperatively.
B. While support groups may be beneficial for Jack postoperatively, they are not immediate preoperative interventions.

C. Preoperative antibiotics are not routinely indicated for a partial laryngectomy unless there are specific risk factors present.
D. Given the nature of the surgery, ensuring Jack has a method for postoperative communication is important.
E. While assessment for signs of infection or hemorrhage is important, it's more of a perioperative and postoperative nursing intervention.

A. Increasing sun exposure by 10 minutes each day will minimize risk. B. Water-resistant sunscreens are all you need while swimming. C. Use a sunscreen with SPF of at least 10 D. Avoid direct sun exposure between 10 AM and 2 PM.

Correct Answer is D

Explanation

A. Increasing sun exposure would actually increase the risk of sun damage and skin cancer rather than minimizing it.
B. While water-resistant sunscreens are important for protection during swimming, they are not the only measure needed to reduce sun damage, especially during extended sun exposure periods.
C. A sunscreen with SPF of at least 10 may not provide sufficient protection, especially for someone spending extended periods of time in direct sunlight. Higher SPF is generally recommended.
D. Avoiding direct sun exposure between 10 AM and 2 PM is crucial because during these hours, the sun's rays are the strongest, increasing the risk of sunburn and skin

damage. Opting for shade or protective clothing during these hours can significantly reduce the risk of sun damage.

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Sarah, a 68-year-old female who is on anticoagulant therapy for atrial fibrillation, presents with a contusion on her forearm after a fall. Which two combined assessments should the nurse prioritize in Sarah's care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Jack, a 60-year-old man with a history of smoking and alcohol consumption, has been diagnosed with squamous cell carcinoma of the larynx. He is scheduled for a partial laryngectomy. What are the preoperative nursing interventions? Select all that apply.

Correct Answer is ["A","D"]

Explanation

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Correct Answer is D

Explanation

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