An older patient with diabetes is prescribed high dose antibiotic therapy for a wound infection. For which effects of antibiotic therapy should the nurse assess the patient?
1. Diarrhea
2. Constipation
3. Nausea and vomiting
4. Increased urine output
1
Rationale: When antibiotics are used in older adults with diabetes, they are usually prescribed at higher doses for longer periods of time to ensure complete eradication of the offending organism. These higher doses place the person at risk for medication side effects and drug interactions, including development of antibiotic-associated diarrhea.
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A nurse assesses a 2-hour-old infant's temperature and notes it to be 97.7 °F (36.5 °C). What action by the nurse is most appropriate?
A. Document the findings and continue to monitor. B. Ensure the baby is wearing a hat. C. Place the baby in a pre-warmed incubator. D. Tightly swaddle the baby.
The nurse is assessing a client who has low production of erythropoietin in the kidneys. The nurse should perform a thorough focused assessment as a priority of:
1. the client's respiratory system. 2. the skin. 3. the neurological system. 4. the gastrointestinal system.
At the end of a shift, a nurse documents the effectiveness of parent teaching concerning the transmission of hemophilia. Which statement by the mother would best indicate an accurate pa-rental perception?
a. "Hemophilia is a genetic disorder, and I am a carrier, although I do not have the disease." b. "My son developed hemophilia because I had measles while I was pregnant." c. "Because my husband isn't affected by the disease, our daughter will not be a car-rier." d. "I know it is not necessary to have my two daughters tested for the disease."
The nurse is assessing a 9-year-old girl who had tuberculosis when she was 6 years old, has been losing weight, and has no appetite. Which of the following assessment findings would be most indicative of Addison's disease?
A) Arrested height and increased weight B) Thin, fragile skin and multiple bruises C) Hyperpigmentation and low blood pressure D) Blurred vision, headaches, and enuresis