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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Elevated C-reactive protein levels are not directly associated with an increased risk of hemorrhage.
B. C-reactive protein elevation is not indicative of an allergic response to medication.
C. C-reactive protein levels do not directly correlate with dehydration or fluid imbalance.
D. Elevated C-reactive protein levels are often seen in response to inflammation, including that caused by infection. In a post-operative patient, this elevation could indicate the early stages of an infection, and thus should be a priority concern for the nurse.
Correct Answer is B
Explanation
A. Bronchial blood supply evaluation is not a direct method of monitoring oxygenation status.
B. Oximetry measures oxygen saturation (SaO2) continuously and non-invasively, providing real-time information about oxygen levels in the blood, which is essential for monitoring a patient with COPD.
C. Mixed venous blood gases provide information about oxygen extraction by tissues but are not commonly used for continuous monitoring of oxygenation status.
D. Pulmonary blood supply evaluation may involve various imaging techniques or invasive procedures but is not used for continuous monitoring of oxygenation status.
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