What symptom leads the nurse caring for a 5-month-old with viral influenza to suspect the development of Reye's syndrome?
a. Respirations drop from 18 to 14 breaths/min
b. Falling asleep after feeding
c. Sudden vomiting without effort
d. Development of a macular rash
ANS: C
A child with a viral infection is at risk for Reye's syndrome, the onset of which is effortless vomiting, lethargy, and a change in level of consciousness. A 5-month-old child who sleeps after eating is normal.
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The nurse caring for a patient with a 3-day postoperative bowel resection observes that the suction apparatus is not working and the patient is becoming distended. The initial imple-mentation should be to:
1. pull tube outward 6 inches. 2. push tube further 3 inches. 3. change the patient's position. 4. irrigate with 60 mL of normal saline.
What is the most important precaution to teach a patient who is prescribed oral valacyclovir (Valtrex)?
a. "Avoid coffee and other caffeinated beverages." b. "Wear long sleeves and a hat when going outdoors." c. "Take this drug 1 hour before or 4 hours after eating a full meal." d. "Drink at least 3 L of water daily for the entire time you are taking this drug."
A nurse enlists the help of other nurses to move a patient using the "logrolling" technique. What is the goal of moving a patient in this manner?
A) Maintaining the alignment of the neck and spine when moving a patient B) Moving an overweight patient without injury to the patient or healthcare providers C) Rolling a patient with multiple tubes and IV lines onto a stretcher for transport D) Safely moving a patient with an altered level of consciousness
K.W. is an 18-year-old woman who comes to Planned Parenthood for a pregnancy test because a condom broke during intercourse the night before. Her last menstrual period (LMP) was 13 days ago and was normal. She always has a monthly menstrual cycle. She is extremely nervous about pregnancy because she is beginning college on a scholarship soon. She states there have been no other acts of unprotected intercourse since her LMP and declines a gynecologic examination.
As the nurse working in the clinic, should you run a pregnancy test?