The nurse is reviewing drug literature about a medication to be administered. The literature mentions precautions. Select the best example of a patient for whom precautions are warranted for the administration of penicillin
1. A patient who has a history of anaphylaxis from promethazine (Phenergan)
2. A patient who has not received a tetanus toxoid immunization in more than 10 years
3. A patient allergic to sulfa agents but with no history of reactions to penicillin
4. A patient who reports a history of a mild rash from penicillin taken 20 years ago
Correct Answer: 4
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As a nurse is performing passive range of motion (PROM) exercises with a client, it is important for the nurse to do which of the following?
a. Keep the bed rails up at all times. b. Describe the PROM to be performed for each joint. c. Start at the client's feet and legs, and work upward. d. Repeat each PROM exercise at least 10 times.
A patient is hospitalized with cryptococcal pneumonia and AIDS. What is the most important standard precaution for the health care team to implement?
a. Hands are washed before and after glov-ing. b. After gloves are put on, they do not need to be changed until care is finished. c. Needles and sharps should be placed in puncture-resistant containers on the medi-cine cart out of the room. d. Mouth-to-mouth resuscitation must be performed immediately unless the patient is a designated as "do not resuscitate."
Arm length is measured from the acromion process through the:
a. olecranon joint to the carpal thumb hinge. b. olecranon process to the distal ulnar prominence. c. proximal radial prominence to the distal joint. d. proximal ulnar joint to the middle finger-tip.
Why is it important for the nurse to reconcile all the hospitalized patient's medication lists with the medication that the patient regularly takes at home?
A) So the physician can order the correct drugs for the hospitalized patient B) So the patient's medication record correlates with the patient's medication history C) So the patient continues taking the correct drugs D) So the physician can make sure to change the patient's drugs