The nurse is caring for a patient admitted with acute hepatic dysfunction caused by acetaminophen toxicity. Which clinical findings would indicate that the patient's condition is deteriorating?
1. Sweet odor on the breath
2. Tachycardia
3. Hyperresponsive pupillary responses
4. Change in level of consciousness
Answer: 4
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A 12-year-old boy has been diagnosed with acute otitis externa. The patient's mother has asked if oral medications might be more effective than ear drops
The nurse should respond in the knowledge that systemic medications for the treatment of otitis externa are only indicated in what circumstances? A) The infection is accompanied by ear discharge. B) The patient is allergic to penicillins. C) The patient is unable to self-administer ear drops. D) A deep tissue infection develops.
A nurse is working in the emergency department when a child who was involved in a motor vehicle crash is admitted. The child is critically injured and, despite heroic efforts, does not survive. The nurse finds the family in the waiting room and
several family members are agitated and do not listen to the nurse describe the child's injuries. One family member feels faint and another has vomited. What does the nurse understand about the current situation based on Epperson's theory of grieving? (Select all that apply.) A. It is important to be patient and identify one person to communicate with. B. Most of the members are totally dysfunctional and should be sent home. C. Signs of emotional upheaval and physical symptoms are a result of great stress. D. The nurse should call security, as some family members may become violent. E. This family is reacting normally to a catastrophic loss, according to one theory.
A nurse is caring for a patient receiving skeletal traction. Due to the patient's severe limits on mobility, the nurse has identified a risk for atelectasis or pneumonia. What intervention should the nurse provide in order to prevent these complications?
A) Perform chest physiotherapy once per shift and as needed. B) Teach the patient to perform deep breathing and coughing exercises. C) Administer prophylactic antibiotics as ordered. D) Administer nebulized bronchodilators and corticosteroids as ordered.
A patient has complained several times of minor gastrointestinal pain, flatulence, and diarrhea after meals. A nurse identifies that this is most likely caused by
1. Anaphylaxis. 2. Food intolerance. 3. A food allergy. 4. Food poisoning.