A patient with a venous thromboembolism (VTE) is started on enoxaparin (Lovenox) and warfarin (Coumadin). The patient asks the nurse why two medications are necessary. Which response by the nurse is accurate?

Correct Answer: C

Rationale: The correct answer is C. Lovenox (enoxaparin) is a low molecular weight heparin that works immediately to prevent further clot formation. Warfarin (Coumadin) takes several days to reach therapeutic levels and inhibit clotting factors. Therefore, the combination of both medications ensures immediate anticoagulant effects from Lovenox while waiting for Coumadin to take full effect. Explanation of other choices: A: Incorrect. Using two anticoagulants does not necessarily reduce the risk for recurrent venous thrombosis. B: Incorrect. Lovenox and Coumadin have different mechanisms of action and do not function solely in clot dissolution and prevention. D: Incorrect. The presence of a VTE does not inherently indicate an increased risk for pulmonary embolism.

Correct Answer: C

Rationale: The correct answer is C because long-term care facilities provide care to individuals of any age who require assistance with activities of daily living, such as bathing, dressing, and medication management. This choice is true as these facilities cater to individuals with various health conditions or disabilities, not just older adults. Choice A is incorrect because long-term care facilities serve individuals of all ages, not just older adults. Choice B is incorrect as these facilities do not specifically cater to homeless adults but rather to anyone in need of long-term care services. Choice D is incorrect because long-term care facilities provide care to individuals with a range of conditions, not limited to those with dementia.

Correct Answer: D

Rationale: Step-by-step rationale for why the correct answer is D (registered nurse): 1. Registered nurses are trained to conduct comprehensive holistic assessments, considering physical, emotional, social, and psychological aspects of a patient's health. 2. They have the knowledge and skills to perform a thorough evaluation and identify any potential health issues or concerns. 3. Nurses play a crucial role in patient care and are often the first point of contact for patients, making them well-positioned to conduct assessments upon admission. 4. Physicians primarily focus on diagnosing and treating medical conditions, while admission clerks and licensed practical nurses do not have the same level of training and scope of practice as registered nurses. Summary of why other choices are incorrect: A. Physicians are not typically responsible for conducting holistic assessments upon admission. B. Admission clerks are not healthcare providers and do not have the clinical expertise required for holistic assessments. C. Licensed practical nurses have a more limited scope of practice compared to registered nurses and may not have the necessary training

Correct Answer: C

Rationale: The correct answer is C because documenting nursing actions in the patient's record is a legal requirement to ensure care is not negligent. This provides a detailed account of the care provided, serving as legal evidence in case of any disputes. Verbal reporting (A) may not be documented and can be easily forgotten or disputed. Private notes (B) may not be accessible to others involved in the patient's care and can be subjective. Tape recording (D) raises privacy concerns and may not be a standard practice in healthcare settings.

Correct Answer: B

Rationale: The correct answer is B: source-oriented record. In this method, each discipline (such as nursing) maintains their own section with narrative notes. This allows for easy tracking of information specific to each discipline. A: problem-oriented medical record focuses on patient problems. C: PIE charting system stands for Problem, Intervention, Evaluation and is a different method of organizing data. D: focus charting is a type of narrative charting that emphasizes patient concerns rather than specific disciplines.