A patient develops a fever, rash, joint and muscle pain, and swollen lymph nodes after receiving a sulfonamide for a urinary tract infection (UTI). The nurse anticipates providing care for which condition?
1. Serum sickness
2. Worsening of the infection
3. Respiratory involvement from systemic release of pathogens
4. Subacute rheumatoid arthritis from increased serum uric acid
1
Rationale 1: Manifestations of serum sickness include fever, urticaria or rash, arthralgias, myalgias, and lymphadenopathy. Serum sickness can occur in response to some drugs, such as penicillin and sulfonamides.
Rationale 2: These findings are not associated with a worsening of UTI symptoms.
Rationale 3: There is no indication that these symptoms are from systemic pathogen release.
Rationale 4: These symptoms are not related to increased uric acid in the serum.
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The nurse is providing health teaching to a patient who is taking methenamine (Hiprex). What instruction would be most important to include for the patient taking Hiprex?
A) "Drink citrus juice with the medication to acidify the urine." B) "Take sodium bicarbonate with the medication to make the urine alkaline." C) "Limit your fluid intake to 8 ounce per day." D) "While you are taking this drug, limit your intake of foods high in sodium."
A client who has uterine cancer is to begin Depo-Provera hormonal therapy. Which statement about this medication is TRUE?
a. It increases the regeneration of healthy cells. b. The order must be verified with the health care provider because it contains progesterone and can stimulate tumor growth. c. It is administered to slow tumor growth when the cancer is considered inoperable or has metastasized. d. It is used for birth control when chemotherapy treatments cause nausea and vomiting and the client can no longer take oral contraceptives.
A 52-year-old woman admitted to the same-day surgical unit for wire needle localization and biopsy states, "My surgeon explained the need for putting a wire in my breast, but I don't remember exactly why I need to have it."
What is the nurse's best response? A) "I have not seen it done before but I understand that it is for aspirating the fluid." B) "The wire is used to locate the mass using an x-ray and it will establish the location." C) "You will have a core biopsy with the use of the MRI to find the mass." D) "You will have a portion of the mass removed and then the surgeon will decide the treatment."
The process by which nurses collect cues, process the information, come to an understanding of the situation, plan and implement interventions, evaluate outcomes and reflect and learn from the process is known as:
a. contextual perspective. b. critical thinking. c. clinical reasoning. d. problem-based learning.