Question

A patient with a pulmonary embolus is receiving anticoagulation with IV heparin. What instructions would you give the nursing assistant who will help the patient with activities of daily living? Select all that apply.

A) Use a lift sheet when moving and positioning the patient in bed

B) Use an electric razor when shaving the patient each day

C) Use a soft-bristled toothbrush or tooth sponge for oral care

D) Use a rectal thermometer to obtain a more accurate body temperature

E) Be sure the patient's footwear has a firm sole when the patient ambulates

Answer 1

Instructions for a nursing assistant helping a patient with a pulmonary embolus receiving anticoagulation with IV heparin include using a lift sheet for moving and positioning in bed, using an electric razor for shaving, and using a soft-bristled toothbrush or tooth sponge for oral care.

Step-by-step explanation:

When assisting a patient with a pulmonary embolus who is receiving anticoagulation with IV heparin, there are several instructions that can be given to the nursing assistant to provide proper care. The instructions include:

1. Using a lift sheet when moving and positioning the patient in bed to prevent excessive strain or stress on the patient's body.
2. Using an electric razor when shaving the patient each day to minimize the risk of cuts or bleeding, which could be problematic due to the anticoagulation medication.
3. Using a soft-bristled toothbrush or tooth sponge for oral care to prevent bleeding and irritation of the gums.

It is important to note that using a rectal thermometer to obtain a more accurate body temperature is not necessary or recommended in this situation. Additionally, ensuring that the patient's footwear has a firm sole when ambulating is not directly related to anticoagulation with IV heparin.