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 C

Explanation

A. Wearing sunglasses is not relevant to the side effects or precautions associated with ciprofloxacin.
B. Ciprofloxacin does not cause artificial tanning.

C. Ciprofloxacin can increase sensitivity to sunlight, leading to sunburn. Using sunscreen with a high SPF can help prevent sunburn while taking this medication.
D. Sun exposure does not typically affect the effectiveness of ciprofloxacin, but it can increase the risk of sunburn due to photosensitivity.

A. Avoid crowded places due to infection risk. B. S-FU will prepare the lesion for surgical removal. C. Nutritional intake should be monitored due to risk of anorexia. D. The treated areas will be eroded and take weeks to heal.

Correct Answer is D

Explanation

A. Actinic keratosis treatment with topical 5-FU does not increase the risk of infection to the extent that avoiding crowded places would be necessary.
B. While 5-FU may be used to treat actinic keratosis, it does not necessarily prepare the lesion for surgical removal.

C. There is no direct association between topical 5-FU treatment and anorexia.

Nutritional intake monitoring may not be necessary unless symptoms develop.

D. Topical 5-FU causes localized irritation, erosion, and crusting of treated areas, which typically take weeks to heal. This instruction is important for the patient to understand the expected outcome of the treatment.

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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

Thomas, 42, with a past history of kidney stones, has been prescribed ciprofloxacin for a UTI. Lab values indicate normal renal function. What should be included in the teaching plan?

Correct Answer is C

Explanation

Lisa, 49, has actinic keratosis on her left cheek and opts for treatment with topical 5-FU. She is generally healthy with no other significant past medical history. What should the nurse instruct her?

Correct Answer is D

Explanation

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