The nurse is caring for a patient with a severe allergic reaction. Which medication should the nurse anticipate being administered to control the itching?
a. Morphine
b. Epinephrine
c. Diphenhydramine (Benadryl)
d. Hydrocortisone sodium succinate (Solu-Cortef)
ANS: C
Benadryl blocks histamine at histamine1-receptors, therefore preventing or reversing the effects of histamine. A. Morphine does not reduce itching. B. Epinephrine will help the overall allergic response however will not specifically reduce itching. D. This medication might need to be prescribed long-term if the itching continues.
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A married couple is discussing alternatives for pregnancy prevention and has asked about fertility awareness methods. The nurse's most appropriate reply is:
1. "They are not very effective, and it is very likely that you will get pregnant.". 2. "They can be effective for many couples, but require motivation.". 3. "There are few advantages to these methods and several health risks.". 4. "You would be much safer going on the pill and not having to worry.".
A patient tells the nurse that he dreads the winter, stating he does not spend much time outdoors because of the bad weather and he becomes blue and depressed. Then all of his muscles hurt and he "just is not able to do anything."
The nurse realizes this patient's symptoms are worse in the winter due to: 1. A decrease in serotonin. 2. Spending too much time in dry heat. 3. A lack of motivation. 4. Poor diet.
A nurse educator develops a PICO question to research the success of a support group for renal failure
The questions is: "Do newly diagnosed renal failure patients who attend monthly support group meetings have a decreased readmission rate over a 6-month period when compared to a similar group of patients who do not attend a support group?" In analyzing the data, the letter C might focus on which of the following? a. Comparison with patients who do not attend a support group b. The patient's involvement in a monthly support group c. Decreased readmission rate over 6-month period d. The problem of maintaining newly diagnosed renal failure patients at home
A nurse documents a paralyzed client's right heel ulcer as a stage 3 pressure ulcer
Which describes a stage 3 pressure ulcer? A) Painless subcutaneous ulcer with foul-smelling discharge B) Painful and swollen shallow ulcer or blister C) Pressure-related changes of intact skin D) Small wound with extensive underlying damage