A patient is admitted to the critical care unit with pneumocystis pneumonia. Which of the following will the nurse likely need to manage for this patient? Select all that apply
A) Intravenous (IV) trimethoprim and sulfamethoxazole (Bactrim, Septra) and corticosteroids
B) Dialysis
C) Bloodborne pathogen isolation
D) Ultrasound
A, C
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A child just had a long-leg cast placed after an open reduction and fixation of a femur fracture. What interventions are appropriate for the nurse to include in the child's plan of care? (Select all that apply.)
A. Assess the 4 Ps every hour, with vital signs. B. Elevate the leg and apply ice for short periods. C. Ensure that the proximal edge of the cast stays clean. D. Handle the cast carefully when wet to prevent dents. E. Use a hand-held dryer to help the cast dry faster.
A home care client who has been identified as drinking a six-pack of beer daily tells the community
mental health nurse that his arthritis has been "acting up" recently and he is taking acetaminophen arthritis formula four times daily for pain. The priority interventions the nurse should take include (more than one option may be correct) A. determining the safety of the dose the client is ingesting daily. B. advising the client of the harmful effect of alcohol and acetaminophen on the liver. C. suggesting increasing the acetaminophen dose because alcohol causes faster excretion. D. inquiring about sleep disturbance caused by mixing alcohol and analgesics. E. assessing for declining functional status associated with medication-induced dementia.
A young client with a new diagnosis of bipolar I disorder is scheduled to begin therapy with lithium. Which of the following instructions should the nurse provide to this client?
A) "Try to limit your fluid intake to no more than four to six glasses per day." B) "If you don't feel substantially different in a few days, increase your dose by 50%." C) "When you exercise, try to avoid doing so at the hottest times of the day." D) "Try to adapt to a low-salt diet as soon as possible."
A patient with a history of depression and suicidal ideation is taking fluoxetine (Prozac). The patient reports difficulty maintaining sleep and is prescribed secobarbital (Seconal) as a sedative-hypnotic
The nurse preparing this patient for discharge from the hospital will: a. contact the provider to suggest an order for ramelteon (Rozerem). b. instruct the patient to use alcohol in moderation. c. request an order to change to trazodone (Desyrel) for sleep. d. suggest that the patient try alternative remedies for sleep.