A nurse cares for a client who has food poisoning resulting from a Clostridium botulinum infection. Which assessment should the nurse complete first?

a. Heart rate and rhythm
b. Bowel sounds
c. Urinary output
d. Respiratory rate


ANS: D
Severe infection with C. botulinum can lead to respiratory failure, so assessments of oxygen saturation and respiratory rate are of high priority for clients with suspected C. botulinum infection. The other assessments may be completed after the respiratory system has been assessed.

Nursing

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The recommended children's dose is 3 to 5 mg/kg/day q12h. The range of doses that are safe for a child weighing 9 lb is _______________

a. 6.2 to 10.25 mg/day b. 12.3 to 20.5 mg/day c. 10.8 to 18 mg/day d. 59.4 to 99 mg/day

Nursing

Which information about continuous bladder irrigation will the nurse teach to a patient who is being admitted for a transurethral resection of the prostate (TURP)?

a. Bladder irrigation decreases the risk of postoperative bleeding. b. Hydration and urine output are maintained by bladder irrigation. c. Antibiotics are infused continuously through the bladder irrigation. d. Bladder irrigation prevents obstruction of the catheter after surgery.

Nursing

The school nurse teaching a class of fourth graders about bicycle safety includes the recommendations of:

a. Using additional caution while riding with a device that uses earphones b. Wearing reflective clothing when riding at night c. Wearing a helmet when riding on pavement d. Avoiding clothing that could be caught in the chain

Nursing

A nurse collects data about seat belt usage by interviewing key informants and observing behaviors in the community. What type of data is being collected?

a. Quantitative b. Qualitative c. Focus-groups d. Survey

Nursing