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. Lithotomy position is typically used for gynecological examinations and procedures, not for male genitalia examination.
B. Prone position is lying face down and is not suitable for a genitalia examination.

C. Henry can choose to stand or lie down for the examination, depending on his preference and comfort.
D. Sims position is lying on the left side with the upper knee flexed. It's not appropriate for a male genitalia examination.

A. Increased risk of hemorrhage B. Suspected allergic response to medication C. Dehydration and fluid imbalance D. Early indication of possible infection

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.

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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

Henry, a 65-year-old man, is in the clinic for a routine check-up. During the assessment of his male genitalia, which position can Henry choose for the examination?

Correct Answer is C

Explanation

Samantha, a nurse in the post-operative ward, is going over recent lab results of a patient, Jane, who underwent abdominal surgery two days ago. Samantha notes an elevated C- reactive protein level. What clinical concern should Samantha prioritize based on this finding?

Correct Answer is D

Explanation

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