The nurse has administered prescribed allergen injections twice a week for several weeks to an individual with a bee sting allergy. The patient misses three appointments. What action should the nurse take on the patient's next visit?
a. Consult physician to confirm the dosage to be given.
b. Administer the same dosage as was given at the last visit.
c. Administer the dosage as originally prescribed for that visit.
d. Tell the patient that the entire immunotherapy schedule needs to be restarted.
ANS: A
It is important that the patient does not miss an allergen injection dose. If this happens, the allergen strength may need to be reduced, so the physician should be consulted. B. C. The same dose given on the last visit might be too strong since the patient missed three injections. D. The physician will determine the immunotherapy schedule. This is beyond the nurse's scope of practice.
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Prior to giving an intramuscular injection to a 2½-year-old child, the most appropriate statement by the nurse would be:
1. "We will give you your shot when your mommy comes back." 2. "This is medicine that will make you better. First we will hold your leg, then I will wipe it off with this magic cloth that kills the germs on your leg right here, then I will hold the needle like this and say ‘one, two, three ? go' and give you your shot. After the shot is over with, I will hold the cotton ball until it stops bleeding and then put the Band-Aid on. Are you ready?" 3. "It is all right to cry, I know that this hurts. After we are done, you can go to the box and pick out your favorite sticker." 4. "This is a magic sword that will give you your medicine and make you all better."
Your client asks you a question about the duration of his chemotherapy. You do not know the appropriate answer. What is your best response?
1. "Your oncologist will go over all of this with you." 2. "Treatment will continue until the oncologist sees your tumor get smaller." 3. "Chemo isn't as scary as it seems. Don't worry and everything will be fine." 4. "I don't know, but I will be happy to see what I can find out for you."
A nurse understands the importance of establishing an effective nurse–client relationship when initiating care. Which are characteristics of a therapeutic nurse–client relationship? Select all that apply
A) Meeting the psychological needs of the nurse and the client B) Ensuring therapeutic termination C) Promoting client insight into problematic behavior D) Collaborating on a set of goals
The child with Duchenne muscular dystrophy must push on his or her legs and "walk up the leg" in order to rise to a standing position. The nurse recognizes this characteristic behavior as the __________ maneuver
Fill in the blank(s) with correct word