The nurse is caring for a client several days following a cerebral vascular accident. Coumadin (warfarin) has been prescribed. Today's prothrombin level is 40 seconds (normal range 10-14 seconds). Which of the following findings requires priority follow-up?

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Question 1 of 5

The nurse is caring for a client several days following a cerebral vascular accident. Coumadin (warfarin) has been prescribed. Today's prothrombin level is 40 seconds (normal range 10-14 seconds). Which of the following findings requires priority follow-up?

Correct Answer: A

Rationale: Prolonged PT increases bleeding risk; gum bleeding signals potential hemorrhage.

Question 2 of 5

The nurse is providing education for a client with newly diagnosed tuberculosis. Which statement should be included in the information that is given to the client?

Correct Answer: C

Rationale: Completing the full course prevents relapse and resistance, even if symptoms resolve.

Question 3 of 5

The nurse is assessing a client who is on long term glucocorticoid therapy. Which of the following findings would the nurse expect?

Correct Answer: A

Rationale: Buffalo hump (fat redistribution) is a classic sign of chronic glucocorticoid use.

Question 4 of 5

A client is receiving erythromycin 500mg IV every 6 hours to treat a pneumonia. Which of the following is the most common side effect of the medication?

Correct Answer: B

Rationale: GI upset, including nausea and vomiting, is the most frequent side effect of erythromycin.

Question 5 of 5

An unlicensed assistive staff member asks the nurse manager to explain the beliefs of a Christian Scientist who refuses admission to the hospital after a motor vehicle accident. The best response of the nurse would be which of these statements?

Correct Answer: A

Rationale: Christian Science prioritizes spiritual healing over medical intervention, relying on prayer.

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