A client with rhinitis asks the nurse for a prescription for oxymetazoline (Afrin) to help with the swelling in the nose. Before asking the doctor for the prescription, the nurse should assess the client for:
1. normal kidney function.
2. presence of chest petechiae.
3. abdominal pain.
4. hypertension.
Answer: 4
1. Afrin does not have a systemic effect on the kidneys.
2. Afrin does not cause petechiae.
3. Abdominal pain is irrelevant for this medication.
4. Afrin causes constriction of blood vessels, which can cause problems for the hypertensive client.
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A family in the emergency department is overwhelmed at the loss of several family members due to a shooting incident in the community. Which intervention should the nurse complete first?
a. Provide a calm location for the family to cope and discuss needs. b. Call the hospital chaplain to stay with the family and pray for the deceased. c. Do not allow visiting of the victims until the bodies are prepared. d. Provide privacy for law enforcement to interview the family.
During the acute period of burn care, a focus of care is to promote healing of full-thickness burn wounds. Which nursing interventions are necessary before this healing can begin?
1. Administration of diuretics to reduce edema in the wound bed 2. Pharmacologic and nonpharmacologic methods to achieve pain-free status 3. Debridement and cleansing to rid the wound bed of eschar 4. Nutritional support to return the patient to preburn weight
You assess a client in the local neighborhood clinic. He exhibits signs and symptoms of TB, yet has a negative tuberculin skin test result. You suspect that the physician may further test the client because he
A) visited Central America recently. B) is recovering from jet lag. C) is HIV positive. D) works in a factory setting.
A professor has taught the class about giant cell bone tumors. Which statement by a student would require the professor to review the material?
a. Giant cell tumors are an overexpression of genes including osteoprotegerin ligand (OPGL). b. The tumors are malignant, solitary, and irregularly shaped. c. Giant cell tumors are typically located in the epiphysis in the femur, tibia, radius, and humerus. d. They are slow-growing tumors that extend over the articular cartilage.