The nurse has an order to perform occult blood testing on a patient's emesis. What color will the sample turn to indicate that the test is positive for occult blood?
a. Red
b. Blue
c. Green
d. Yellow
ANS: B
If the sample turns blue, the test is positive for occult blood; if it turns green, it is negative for occult blood.
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The nurse is caring for a client with pneumonia and has obtained the following vital signs:
Temperature 101.2 ºF (oral), BP 100/70, pulse rate 110/min., and respirations 22. The client's oxygen saturation level is 96%. Based on these findings, which order requires further clarification? 1. Administer acetaminophen (Tylenol) 650 mg every 4 hours prn temperature greater than 100.5 ºF. 2. Administer intravenous (IV) fluids: 0.9% Normal Saline Solution at 125 ml/hour. 3. Start oxygen therapy at 3L/minute via nasal cannula. 4. Send for chest x-ray.
The nurse is finalizing a plan of care for a school-age client newly diagnosed with type 1 diabetes mellitus. On which areas should the plan focus to achieve the maximum outcomes for this client?
Select all that apply. A) Ways to minimize the number of school days missed B) Identification and referral to community resources C) Physical activities that limit exposure to injuries D) Self-management of glucose monitoring and medications E) Signs and symptoms of hypoglycemia and actions to take
A client suspected to have myasthenia gravis is scheduled for the Tensilon (edrophonium chloride) test. Which prescribed medication does the nurse prepare to administer if complications of this test occur?
a. Epinephrine b. Atropine sulfate c. Diphenhydramine d. Neostigmine bromide
The nurse assesses that a patient is unable to completely straighten the right arm. The nurse conducts additional assessment for which condition?
1. Muscle atrophy 2. The presence of nodules 3. Gout 4. Muscle fasciculation