Which statement by a patient on dialysis, taking gentamicin (Garamycin), should cause the nurse the most concern?
a. "I have a horrible headache."
b. "Speak up! I can't hear you."
c. "I've had diarrhea once or twice today."
d. "I'm thirsty. I can't get enough water."
B
Garamycin is ototoxic. Indication of hearing impairment suggests drug toxicity.
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In a class for new parents, what information should the nurse include about the fontanelles in the newborn infant?
A. "There are three fontanelles, or ‘soft spots,' on the infant's head." B. "Notify the physician if you notice bulging of the fontanelle when the infant cries." C. "Avoid touching the skin over the fontanelles because the infant's brain could be damaged." D. "The posterior fontanelle closes in 2 to 3 months; the anterior fontanelle in about 18 months."
A patient who had a hypophysectomy 3 days ago begins to have 3000 mL of urine output every shift and complains of thirst and a dry mouth. The nurse interprets these signs as possible:
a. overreaction to diuretics. b. diabetes insipidus. c. diabetes mellitus. d. glucose intolerance.
The correct equation for converting 75 mL to ounces is
A. x oz = 30mL/1 oz x 75 mL/1 B. x oz = 1 oz/30 mL x 75 mL/1 C. x oz = 1 oz/30 mL x 1/75mL D. 75 mL = 1 oz/x mL x 30 mL/1
A novice mental health nurse shares that, "I'll never get used to playing cards or other games with patients. It seems like a poor use of scarce nursing time." The best response for the nurse's mentor would be:
a. "Perhaps you'll want to rethink your transfer to this unit if you're really uncom-fortable." b. "Your comments make a point about scarce resources. I'll ask the treatment team to review our position on activities." c. "Activity co-leadership puts us in a position to help patients develop social skills and support them as they take small risks." d. "Managed care has cost us activities therapists. Activities are necessary to give patients something to do, so we have to fill in."