If a patient is receiving radiation using gamma rays, the nurse would be watching for which of the following?
a. Severe pain during administration
b. Development of an allergy to shellfish
c. Severe burns or internal injury
d. Confusion and lethargy
C
Gamma rays pose the greatest health risk because the waves penetrate deeply, causing severe burns and internal injury. Radiation does not cause patients to develop an allergy to shellfish and is painless during administration. Confusion and lethargy are not known side effects of radiation.
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A patient is admitted from the emergency department. The emergency department physician notes the patient has a diagnosis of heart failure with a New York Heart Association (NYHA) classification of IV. This indicates the patient's condition as:
a. moderate heart failure. b. severe heart failure. c. congestive heart failure. d. negligible heart failure.
You are explaining to a patient the difference between a side effect and an adverse reaction. This explanation would involve which response?
1. Both side effects and adverse reactions are severe. 2. Side effects are mild, and adverse effects are severe. 3. Both side effects and adverse reactions are mild. 4. Side effects are severe, and adverse reactions are mild.
The nurse is caring for a child who has been sedated for a painful procedure. The priority nursing activity for this child is:
1. Allowing parents to stay with the child. 2. Monitoring pulse oximetry. 3. Assessing the child's respiratory effort. 4. Placing the child on a cardiac monitor.
When discussing the possible side effects of a new medication, the nurse asks about allergies to dyes because the manufacturer's list on contents includes:
1. Lactose. 2. Sorbital. 3. Sulfites. 4. Tartrazine.