A patient with an infection caused by Pseudomonas aeruginosa is being treated with piperacillin. The nurse providing care reviews the patient's laboratory reports and notes that the patient's blood urea nitrogen and serum creatinine levels are elevated. The nurse will contact the provider to discuss:
a. adding an aminoglycoside.
b. changing to penicillin G.
c. reducing the dose of piperacillin.
d. ordering nafcillin.
ANS: C
Patients with renal impairment should receive lower doses of piperacillin than patients with normal renal function. Aminoglycosides are nephrotoxic. Penicillin G and nafcillin are not effective against Pseudomonas infections.
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The nurse assesses a client as having solid self-esteem. Self-esteem is:
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A nurse who is caring for a maturing Jewish girl preparing for her passage into adulthood, bat mitzvah, would arrange the care to allow time for:
1. instruction and study. 2. prayer and meditation. 3. her father's blessing. 4. eating a ritual meal of bread and water.
The parents of a critically injured child wish to stay in the room while the child is receiving emergency care. Which action should the nurse take?
1. Escort the parents to the waiting room and assure them that they can see their child soon. 2. Allow the parents to stay with the child. 3. Ask the physician whether the parents can stay with the child. 4. Tell the parents that they do not need to stay with the child.