Page 445 - Critical Care Nursing Demystified

430 CRITICAL CARE NURSING DeMYSTIFIED

6. A nurse is scanning through the laboratory work and medication records to
prepare a patient for a bone marrow biopsy. Which of the following medications
should the nurse hold and notify the physician about before proceeding further
with the preparation?
A. Clopidogrel (Plavix)
B. Cimetadine (Tagamet)
C. Vancomycin
D. Morphine sulfate

7. Preventing deep vein thrombosis and pulmonary emboli as possible complica-
tions of sepsis, the nurse would
A. Administer Xigris
B. Start warfarin (Coumadin)
C. Give vitamin K
D. Administer low molecular weight heparin
8. A patient is admitted to your ICU with severe respiratory distress. His secondary
diagnosis is acute lymphocytic leukemia. You know this patient’s profile indi-
cates he is currently being treated with chemotherapy. You place this patient in
neutropenic precautions but want to verify his absolute neutrophil count. You
have a CBC that includes Downloaded by [ Faculty of Nursing, Chiangmai University 5.62.158.117] at [07/18/16]. Copyright © McGraw-Hill Global Education Holdings, LLC. Not to be redistributed or modified in any way without permission.
Hemoglobin 8 g/dL
Hematocrit 25%
Total WBC 2,000
Neutrophils (segs) 50%
(bands) 7%
Eosinophils 5%
Basophils 0.5
Calculate the patient’s ANC.
A. 70
B. 700
C. 1,140
D. 7,000

9. The nurse is teaching the family about entering the room of a patient on neu-
tropenic precautions. The priority nursing measure the nurse needs to teach is
A. How to apply gloves before touching the patient
B. How to correctly form a mask to prevent exhaling on this patient
C. Wearing a gown when in direct contact with the patient
D. Hand washing