An 18-year-old college student with an exacerbation of systemic lupus erythematosus (SLE) has been receiving prednisone (Deltasone) 20 mg daily for 4 days. Which medical order should you question?
a. discontinue prednisone after today's does
b. give a "catch-up" dose of varicella vaccine
c. check the patient's C-reactive protein level
d. administer ibuprofen (Advil) 800mg PO.
Answer: b. give a "catch-up" dose of varicella vaccine
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A nurse is describing the multifactorial perspective of mental health and illness to the parents of a child recently diagnosed with autism spectrum disorder. Which statement would the nurse utilize when describing this approach?
1. Exposure to drugs and alcohol has been associated with psychiatric disorders. 2. Early psychological trauma may create deficits or abnormalities in brain structure. 3. The child's genetically determined attributes and life experiences interact to influence mental health outcomes. 4. The feedback mechanism appears dysfunctional, creating neurotoxic effects on brain development and function.
The nurse is caring for a patient with liver disease. When assessing the patient's laboratory values, the nurse should:
a. disregard the level of conjugated bilirubin. b. assess the indirect serum bilirubin. c. call the provider immediately if the direct bilirubin is elevated. d. be aware that unconjugated bilirubin is harmless.
While an adolescent wears a body brace for scoliosis, you would teach her
A) to continue with age-appropriate activities. B) to stand absolutely still whenever she is out of the brace. C) to wear the brace a maximum of 20 hours each day. D) that secondary sex changes will stop until the brace is removed.
Sarah is a second-year nursing student
The clinical instructor overhears Sarah telling a patient that she "always" checks patients' bracelets before giving medication and she is not sure how the nurses on the unit "get away with" not making more errors than they do. The clinical instructor pulls Sarah aside and explores with her how her communication might affect the patient and what it reflects about her beliefs related to the team. The actions of the clinical instructor reflect competencies outlined by: a. QSEN. b. IHI. c. DNV/NIAHO. d. AHRQ.