A nurse is caring for a 12-year-old girl with a severe peanut allergy. The girl's parents are upset because the school does not permit her to carry her EpiPen® with her. It must remain in the school's office as per school regulations
How should the nurse respond?
A) "She is allowed by law to carry her EpiPen® with her; I will talk to school authorities."
B) "Let's file an action plan and keep it in the school office in the event of anaphylaxis."
C) "Make sure she wears a medical alert bracelet so that school staff know she has allergies."
D) "I will be happy to train school authorities and staff to recognize anaphylaxis."
A
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The patient with meningitis who has a positive Brudzinski's sign will:
1. flex the hips when the neck is flexed by the nurse. 2. not be able to extend the flexed leg fully due to hamstring pain. 3. resist efforts of the nurse to flex his or her neck. 4. flex the big toe upward and fan out the other toes.
A nurse working in a rehabilitation unit wishes to use nursing theory to guide a personal concept of practice but has become frustrated when the chosen theory does not seem to be helpful. The nurse consults an expert on theory
What statement by the theory expert would best help the nurse choose a theory from which to work? a. "Any theory should work fine for you as long as you understand the concepts." b. "Choose a theory that has clear explanations of all four key concepts." c. "Rehabilitation nursing is probably too broad to find an appropriate theory." d. "Since you work in a specialized area, use a theory that is very specific."
A patient's reflexes are documented as being 3+. How should the nurse interpret this finding?
A. The patient's reflexes are normal. B. The patient's reflexes are stronger than normal. C. The patient's reflexes are weaker than normal. D. The patient's reflexes are hyperactive.
The patient has gastroesophageal reflux disease and receives lidocaine viscous prior to an endoscopy. What will be the nurse's priority assessment immediately after the procedure?
1. Assess for a return of the gag reflex. 2. Assess for nausea and vomiting. 3. Assess for any damage to the teeth or gums. 4. Assess for a headache.