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

Explanation

A. B lymphocytes, also known as B cells, are responsible for generating sensitized lymphocytes (memory cells) and antibodies (immunoglobulins).
B. Suppressor T cells (T regulatory cells) are involved in modulating the immune response, but they do not generate sensitized lymphocytes or antibodies.
C. T cells play various roles in the immune response, including cell-mediated immunity, but they are not primarily responsible for generating antibodies.
D. Hematopoietic stem cells are multipotent stem cells that give rise to all blood cells, including B and T lymphocytes, but they do not directly generate sensitized lymphocytes or antibodies.

A. Patient A: Tracheal deviation to the unaffected side B. Patient B: Air gathers in the pleural space without an external C. Patient C: Blood collection in the pleural space D. Patient D: Open chest wound with sucking sounds

Correct Answer is A,B,C,D

No explanation

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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

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Correct Answer is A

Explanation

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Correct Answer is A,B,C,D

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