The nurse is caring for a client with endocarditis who is receiving penicillin. The nurse should be particularly attentive to recognize early symptoms of which of the following types of shock?
1. Anaphylactic
2. Cardiogenic
3. Hypovolemic
4. Septic
Anaphylactic
Rationale: A hypersensitivity to medications, particularly penicillins, may occur at any time during initial or subsequent treatments with the drug. Cardiogenic shock results from loss of pumping ability due to damage to the left ventricle such as after MI. Hypovolemic shock results from decreased vascular fluid volume. Septic shock results from overwhelming infections and the SIRS.
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The client states, "I am using homeopathic remedies to help with my morning sickness." The nurse understands that the client is utilizing:
1. A complementary therapy. 2. An alternative therapy. 3. Traditional Chinese medicine. 4. Naturopathy.
What does diabetes retinopathy result from?
a. Capillaries in retina hemorrhage b. Long-term overdosing of insulin c. Retinal detachment d. Aging
A nurse is planning discharge teaching for a 21-year-old patient with a new diagnosis of ulcerative colitis
When planning family assessment, the nurse should recognize that which of the following factors will likely have the greatest impact on the patient's coping after discharge? A) The family's ability to take care of the patient's special diet needs B) The family's ability to monitor the patient's changing health status C) The family's ability to provide emotional support D) The family's ability to manage the patient's medication regimen
The family of an 88-year-old man with an acute exacerbation of chronic obstructive lung disease is at his bedside. He is experiencing dyspnea and placement on a ventilator is suggested
The patient is DNR and does not want extreme measures taken, but is unable to speak for himself. One daughter supports placement on a ventilator while the other believes that it will only add to his suffering. Which of the following statements by a nurse might facilitate communication between these family members? 1. "Can you tell me if he has ever been on a ventilator before, and how he responded to it then?" 2. "Given this confusion, maybe we should discuss his DNR status; I can go get the information we have on file." 3. "I know that this is a difficult situation—perhaps you would like to talk with a clergy person to help in making the decision." 4. "I'm sure that it is difficult seeing your father like this, can we spend a few minutes talking about your concerns at this time?"