A client is to receive erythromycin intravenously. What is the highest priority nursing intervention?

a. Call the physician; the drug should not be given IV.
b. Administer the solution slowly to avoid pain.
c. Administer the solution quickly to prevent infection.
d. Call the pharmacist to verify the correct route.


ANS: B
Erythromycin should be given slowly when given IV to avoid pain and the development of phlebitis.

Nursing

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The newly admitted patient to the emergency room 30 minutes ago after a fall off a ladder has gradually decreased in consciousness and has slowly reacting pupils, a widening pulse pressure, and verbal responses that are slow and unintelligible

What is the most appropriate position for the patient? a. Neck placed in a neutral position b. Head raised slightly with hips flexed c. Supine in gravity neutral position d. Turn on right side with head elevated

Nursing

A client, aged 16 years, comes to the crisis clinic. The nurse learns she is being molested by her

uncle. She has told her mother, who thinks she is lying. In a disjointed fashion, the client tells the nurse the following: (1) "I am all confused. I got desperate and tried to kill myself.". (2) "For a few days I just sat in my room. I told my mother I was sick.". (3) "I tried to figure out what to do. First I thought I would live with my friend, but her mother said I couldn't. Then I thought I would go live in a homeless shelter.". (4) "I told my mother, hoping she would tell my uncle he couldn't come to the house anymore.". The client has actually described the four distinct phases of crisis according to Caplan. Which of the following reflects the statements in the correct order to coincide with Caplan's theory? a. 1, 2, 3, 4 b. 4, 2, 3, 1 c. 3, 2, 1, 4 d. 4, 3, 2, 1

Nursing

Developmental changes of puberty are caused mainly by the interaction of the pituitary gland, gonads, and:

a. hypothalamus. b. islet cells. c. thalamus. d. thymus.

Nursing

The head nurse and a staff nurse are having a conflict over how to use and apply a new procedure for dressings in the medical/surgical unit. The staff nurse wishes to use the new procedure based on newly released nursing research

The head nurse wishes to use a protocol that has been used in the department for a number of years. The head nurse later makes comments to other staff on her unit about the credibility of the staff nurse. This behavior is associated with: a. Lateral violence. b. Horizontal violence. c. Confrontation. d. Bullying.

Nursing